Individual
TOM J POUSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8851 CENTER DRIVE, SUITE 300, LA MESA, CA 91942-3032
(619) 466-8851
(619) 466-8858
Mailing address
8851 CENTER DRIVE, SUITE 300, LA MESA, CA 91942-3032
(619) 466-8851
(619) 466-8858
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G722550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G722550
—
CA
Enumeration date
08/28/2006
Last updated
07/08/2007
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