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Organization

AESTHETICA PLASTIC SURGICENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY JELLINEK M.D. (MEDICAL DIRECTOR)
(408) 356-0052
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
10/18/2006
Last updated
06/16/2008
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