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
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
11/06/2012
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