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DR. RICHARD MICHAEL BODOR M.D. NPI 1386725463


NPI Information

NPI: 1386725463
Provider Name: DR. RICHARD MICHAEL BODOR, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Address:
3350 LA JOLLA VILLAGE DR
SECTION OF VA PLASTIC SURGERY, MAIL CODE 112K
SAN DIEGO, CA
ZIP 92161
Phone: (858) 642-3808
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DR. Richard Michael Bodor, M.D. is a plastic surgery in San Diego, CA. 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. DR. Richard Michael Bodor, M.D. NPI is 1386725463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3350 LA JOLLA VILLAGE DR
SECTION OF VA PLASTIC SURGERY, MAIL CODE 112K
SAN DIEGO, CA
ZIP 92161-001
Phone: (858) 642-3808
Fax: (858) 552-7530

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/14/2010.


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 SurgeryA053083CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G22219MEDICARE UPINCALIFORNIA

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

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