Illuminate Plastic Surgery, Inc

LBN: Illuminate Plastic Surgery, Inc
Illuminate Plastic Surgery, Inc is an health care organization with primary practice located at 1515 El Camino Real Ste C , Palo Alto CA 94306-1000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Illuminate Plastic Surgery, Inc can be contacted via phone (650) 433-8621, or through Boudreault, David J via phone (650) 433-8621.

Contact Information

Primary practice address
1515 El Camino Real Ste C Palo Alto CA 94306-1000
Phone: (650) 433-8621
Fax: (650) 322-8481
Website:
Map and Directions
Authorized official contact:
Name: Boudreault, David J Doctor of Medicine (MD)
Phone: (650) 433-8621

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X A98186 California

Profile Details

NPI number 1114384518
LBN Legal business name Illuminate Plastic Surgery, Inc
DBA Doing business as
Authorized official Boudreault, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2016
Last updated Jan 15th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114384518 NPPES
California Other 1609057884 NPI

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