Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stanley Gordon Poulos

Individual provider Plastic Surgery Physician · NPI 1588715015

Stanley Gordon Poulos is a Plastic Surgery Physician in Greenbrae, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

350 Bon Air Rd Ste 300
Greenbrae, CA 94904
Phone: (415) 925-2880
Fax: (415) 925-2884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence G31262 (CA)

Record details

NPI number1588715015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2007
Last updated in NPPESFebruary 5, 2008

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