# PLASTIC & RECONSTRUCTIVE SURGERY CENTER

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

## Provider details

- **NPI number:** 1891837415
- **Authorized official:** DR. VINCENT DONALD LEPORE M.D. (CFO)
- **Authorized official phone:** (408) 356-4962

## Contact information

- **Practice address:** 2581 SAMARITAN DR STE 102, SAN JOSE, CA 95124-4112
- **Practice address phone:** (408) 356-4962
- **Practice address fax:** (408) 356-4924
- **Mailing address:** 2581 SAMARITAN DR STE 102, SAN JOSE, CA 95124-4112
- **Mailing address phone:** (408) 356-4962
- **Mailing address fax:** (408) 356-4924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2875 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 03/21/2013