# JEUNEDERM COSMETIC SURGERY CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386969384
- **Authorized official:** ABDOLREZA TABRIZ MD (CEO)
- **Authorized official phone:** (408) 263-2223

## Contact information

- **Practice address:** 991 MONTAGUE EXPY, SUITE 202, MILPITAS, CA 95035-6809
- **Practice address phone:** (408) 263-2223
- **Practice address fax:** (408) 263-2225
- **Mailing address:** 991 MONTAGUE EXPRESS WAY, SUITE 202, MILPITAS, CA 95035
- **Mailing address phone:** (408) 263-2223
- **Mailing address fax:** (408) 263-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 04/01/2010
- **Last updated:** 04/01/2010