| Organization Name: | ATHERTON PLASTIC SURGERY CENTER |
| NPI Number: | 1992827992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE SARA WESTON (PRESIDENT) |
| Mailing Address: | 3351 El Camino Real Suite 200 Atherton |
| State: | CA US |
| Postal Code: | 940273811 |
| Phone Number: | 6503630300 |
| Fax Number: | 6503630302 |
| NPI Enumeration Date: | 04/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 2200269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |