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GRANT STEVENS M.D. INC NPI 1639444714


NPI Information

NPI: 1639444714
Provider Name: GRANT STEVENS, M.D., INC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
4644 LINCOLN BLVD
SUITE 552
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 827-2653
Get Directions

GRANT STEVENS, M.D., INC is a plastic surgery in Marina Del Rey, 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. GRANT STEVENS, M.D., INC NPI is 1639444714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4644 LINCOLN BLVD
SUITE 552
MARINA DEL REY, CA
ZIP 90292-391
Phone: (310) 827-2653
Fax: (310) 823-1984

The provider's authorized official is Jessica Palomares .
The authorized official title is Insurance Coordinator and has the following contact phone number (310) 827-2653.

The enumeration date for this NPI number is 3/21/2012 and was last updated on 5/5/2014.


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 SurgeryA94136CALIFORNIANo
2208200000XPlastic SurgeryG45892CALIFORNIANo
3208200000XPlastic SurgeryA116508CALIFORNIANo
4208200000XPlastic 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

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