Organization Active NPI

Duet Plastic Surgery, a Medical Corporation

  • Plastic Surgery Physician
  • Mountain View, CA
National Provider Identifier
1982839155
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A83918, A84000 Issued in CA
Legal business name
DUET PLASTIC SURGERY, A MEDICAL CORPORATION
Practice address
515 South Dr
Suite 25
Mountain View, CA 94040-4204
Phone
(650) 380-0415
Fax
(650) 964-2205
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angeline Lim, M.D.
Title
President
Phone
(650) 380-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A83918, A84000 CA Primary

Addresses

Primary practice location

515 South Dr
Suite 25
Mountain View, CA 94040-4204

Mailing address

515 South Dr
Suite 25
Mountain View, CA 94040-4204
Phone (650) 380-0415

National Provider Directory

National Provider Directory
Tax ID family
Duet Plastic Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

515 South Dr
Ste 25
Mountain View, CA 94040
Phone (650) 641-7861

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1982839155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR",
            "address_2": "SUITE 25",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404204",
            "telephone_number": "650-380-0415",
            "fax_number": "650-964-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR",
            "address_2": "SUITE 25",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404204",
            "telephone_number": "650-380-0415",
            "fax_number": "650-964-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUET PLASTIC SURGERY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ANGELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-380-0415",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A83918, A84000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.