Organization
CALIFORNIA INSTITUTE OF PLASTIC AND RECONSTRUCTIVE SURGERY A MED. CORP
Active
Other names
Changes Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT WESLEY LEE M.D. (PHYSICIAN / OWNER)
(858) 720-1440
Entity
Organization
Contact information
Practice address
11515 EL CAMINO REAL STE 150, SAN DIEGO, CA 92130-3037
(858) 720-1440
(858) 509-7738
Mailing address
11515 EL CAMINO REAL STE 150, SAN DIEGO, CA 92130-3037
(858) 720-1440
(858) 509-7738
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G63907
CA
Other
Enumeration date
01/17/2008
Last updated
07/07/2016
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