# AESTHETICA PLASTIC SURGICENTER

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

## Provider details

- **NPI number:** 1588745921
- **Authorized official:** DR. GREGORY JELLINEK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (408) 356-0052

## Contact information

- **Practice address:** 15251 NATIONAL AVE, SUITE 207, LOS GATOS, CA 95032-2400
- **Practice address phone:** (408) 356-0052
- **Practice address fax:** (408) 356-9186
- **Mailing address:** 15251 NATIONAL AVE, SUITE 207, LOS GATOS, CA 95032-2400
- **Mailing address phone:** (408) 356-0052
- **Mailing address fax:** (408) 356-9186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 05C0001148 | CA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/16/2008