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Organization
SIMI VALLEY CENTER FOR PLASTIC SURGERY
Active
Organization
SIMI VALLEY CENTER FOR PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES FEALY M.D. (PRESIDENT)
(805) 579-0821
Entity
Organization
Contact information
Practice address
2750 SYCAMORE DR STE 200, SIMI VALLEY, CA 93065-1500
(805) 579-0821
(805) 579-0879
Mailing address
2435 SPRINGBROOK ST, THOUSAND OAKS, CA 91362-1147
(805) 579-0821
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
11/06/2012
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