Organization
PLASTIC SURGERY SPECIALIST MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. NORRIS M.D. (PRESIDENT)
(650) 652-5901
Entity
Organization
Contact information
Practice address
1860 EL CAMINO REAL, SUITE 438, BURLINGAME, CA 94010-3127
(650) 652-5901
(650) 652-5904
Mailing address
1860 EL CAMINO REAL, SUITE 438, BURLINGAME, CA 94010-3127
(650) 652-5901
(650) 652-5904
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G34340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G343400
—
CA
Enumeration date
10/22/2012
Last updated
03/28/2013
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