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OG MEDICAL INC NPI 1386392264


NPI Information

NPI: 1386392264
Provider Name: OG MEDICAL INC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
345 FRANCONIA ST
SAN FRANCISCO, CA
ZIP 94110
Phone: (804) 513-6252
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OG MEDICAL INC is a facial plastic surgery otolaryngology in San Francisco, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. OG MEDICAL INC NPI is 1386392264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

345 FRANCONIA ST
SAN FRANCISCO, CA
ZIP 94110-314
Phone: (804) 513-6252

The provider's authorized official is Tim Ortlip .
The authorized official title is Cfo and has the following contact phone number (804) 513-6252.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/10/2022.


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
1207Y00000XOtolaryngologyNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
4207YS0123XOtolaryngologyFacial Plastic SurgeryYes

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.