Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANLEY GORDON POULOS
Active Sole ProprietorSTANLEY GORDON POULOS is a Plastic Surgery healthcare provider located in GREENBRAE, California. NPI 1588715015 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · GREENBRAE, CA
Registration Details
- NPI Number
- 1588715015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.603754441133 yrs)
- Last Updated
- Feb 5, 2008
- License
-
G31262 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
350 BON AIR ROADSUITE 300GREENBRAE, CA, 94904Browse CA providers · Browse ZIP 94904
- Phone
- 4159252880
- Fax
- 4159252884
- Primary Specialty
-
Plastic Surgery
208200000X
Other Plastic Surgery Providers in GREENBRAE, CA
| Name | Credential | NPI |
|---|---|---|
| YNGVAR A HVISTENDAHL | MD | 1639280001 |
| KIMBERLY ANNE HENRY | MD | 1164500369 |
| ROLAND TAKASHI MINAMI | MD | 1760514137 |
| DR. BAO NGOC NHU TRAN | MD | 1528478799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.