Organization
ASSOCIATES FOR PLASTIC SURGERY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL M SMOOT III M.D. (PRESIDENT)
(858) 587-9850
Entity
Organization
Contact information
Practice address
9850 GENESEE AVE, SUITE 300, LA JOLLA, CA 92037-1224
(858) 587-9850
(858) 622-2066
Mailing address
9850 GENESEE AVE, SUITE 300, LA JOLLA, CA 92037-1224
(858) 587-9850
(858) 622-2066
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G21358
CA
208200000X
Plastic Surgery Physician
G62141
CA
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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