| Organization Name: | EYE FACE & BODY SURGERY CENTER LLC |
| NPI Number: | 1083922066 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY YP FUNG (DIRECTOR) |
| Mailing Address: | 4906 El Camino Real Suite C Los Altos |
| State: | CA US |
| Postal Code: | 940221449 |
| Phone Number: | 6509677834 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |