Organization · NPI-2

A Professional Corporation

Surgery, Plastic and Reconstructive Surgery · Oakland, CA

NPI number1508959990
StatusActive
Last updated in NPPESJun 13, 2008

Details

NPI
1508959990
Entity type
Organization (NPI-2)
Legal business name
A Professional Corporation
Organization subpart
No
Enumeration date
Sep 30, 2006
Last updated
Jun 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery0434250CAYes

Practice location

3300 Webster Street
Ste 1109
Oakland, CA 94609

Phone 510-763-7415 · Fax 510-763-7844

Mailing address

3300 Webster Street
Ste 1109
Oakland, CA 94609

Phone 510-763-7415 · Fax 510-763-7844

Authorized official

Joseph W Togba
Dr
5107637415

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