Organization
MARIN COSMETIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL A. DELGADO II M.D. (OWNER)
(415) 898-4161
Entity
Organization
Contact information
Practice address
165 ROWLAND WAY, # 302, NOVATO, CA 94945-5038
(415) 898-4361
(415) 897-4664
Mailing address
11999 SAN VICENTE BLVD, # 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
01/20/2011
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