# PREMIER PLASTIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trident Mountain LP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952669533
- **Authorized official:** MRS. WINDY HE (PRACTICE MANGER)
- **Authorized official phone:** (650) 321-7100

## Contact information

- **Practice address:** 1795 EL CAMINO REAL, SUITE 200, PALO ALTO, CA 94306-1164
- **Practice address phone:** (650) 321-7100
- **Practice address fax:** (650) 323-3220
- **Mailing address:** 1795 EL CAMINO REAL, SUITE 200, PALO ALTO, CA 94306-1164
- **Mailing address phone:** (650) 321-7100

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 01/23/2017