Provider Demographics
NPI:1548448921
Name:KRYGER INSITUTE OF PLASTIC SURGERY, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:KRYGER INSITUTE OF PLASTIC SURGERY, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRYGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-777-3877
Mailing Address - Street 1:425 HAALAND DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361
Mailing Address - Country:US
Mailing Address - Phone:805-777-3877
Mailing Address - Fax:
Practice Address - Street 1:425 HAALAND DR
Practice Address - Street 2:SUITE 102
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-5229
Practice Address - Country:US
Practice Address - Phone:805-777-3877
Practice Address - Fax:818-888-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty