Provider Type Icon

WEST BLOOMFIELD AESTHETIC SURGERY CENTER LLC NPI 1023345345


NPI Information

NPI: 1023345345
Provider Name: WEST BLOOMFIELD AESTHETIC SURGERY CENTER LLC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
31224 MULFORDTON ST
SUITE 210
FARMINGTON HILLS, MI
ZIP 48334
Phone: (247) 538-1998
Get Directions

WEST BLOOMFIELD AESTHETIC SURGERY CENTER LLC is a plastic surgery in Farmington Hills, MI. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. WEST BLOOMFIELD AESTHETIC SURGERY CENTER LLC NPI is 1023345345. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31224 MULFORDTON ST
SUITE 210
FARMINGTON HILLS, MI
ZIP 48334-407
Phone: (247) 538-1998
Fax: (248) 522-6506

The provider's authorized official is Fanny Dela Cruz .
The authorized official title is Owner and has the following contact phone number (248) 539-1009.

The enumeration date for this NPI number is 11/6/2009 and was last updated on 11/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery4301036977MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.