NPI 1922864743
Sf Bay Area Plastic Surgery Medical Group
Practice location
- Address
- 515 South Dr STE 25, Mountain View, CA 94040-4209
- Phone
- (650) 964-2200
- Fax
- (650) 964-2205
Authorised official
- Name
- Shahin Fazilat
- Title
- Owner
- Phone
- (650) 964-2200
Registered specialties
Plastic Surgery Physician
Primary
Registry record
- NPI
- 1922864743
- Entity type
- Organization
- NPI issued
- 28 Feb 2024
- Record last updated
- 28 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.