Organization
WEST COAST PLASTIC SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YULY GORODISKY D.O. (PRESIDENT)
(805) 983-1999
Entity
Organization
Contact information
Practice address
2831 N VENTURA RD, OXNARD, CA 93036-2213
(805) 983-1999
(805) 485-9490
Mailing address
2831 N VENTURA RD, OXNARD, CA 93036-2213
(805) 983-1999
(805) 485-9490
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20A10292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP019
PTAN
CA
Enumeration date
07/31/2008
Last updated
01/02/2023
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