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Organization

PACIFICA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT STEPHEN IMPROTA MD (PARTNER)
(805) 484-2855
Entity
Organization

Contact information

Practice address
2460 N. PONDEROSA DR #A-117, CAMARILLO, CA 93010
(805) 484-2855
(805) 389-1245
Mailing address
2460 N. PONDEROSA DR #A-117, CAMARILLO, CA 93010
(805) 484-2855
(805) 389-1245

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
09/22/2006
Last updated
08/22/2020
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