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INNOVATIVE PLASTIC & COSMETIC SURGERY INC NPI 1528239761


NPI Information

NPI: 1528239761
Provider Name: INNOVATIVE PLASTIC & COSMETIC SURGERY INC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 05D2098776

Address:
6610 FLANDERS DR
SUITE 101
SAN DIEGO, CA
ZIP 92121
Phone: (858) 457-2888
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INNOVATIVE PLASTIC & COSMETIC SURGERY INC 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. INNOVATIVE PLASTIC & COSMETIC SURGERY INC NPI is 1528239761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6610 FLANDERS DR
SUITE 101
SAN DIEGO, CA
ZIP 92121-940
Phone: (858) 457-2888
Fax: (888) 347-0124

The provider's authorized official is Khang Thai Nguyen .
The authorized official title is President and has the following contact phone number (858) 457-2888.

The CLIA number assigned to this NPI record is 05D2098776 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2008 and was last updated on 7/21/2015.


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 SurgeryA90876CALIFORNIAYes

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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