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UNIVERSITY CHILDRENS MEDICAL GROUP NPI 1033394788


NPI Information

NPI: 1033394788
Provider Name: UNIVERSITY CHILDRENS MEDICAL GROUP
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
4650 W SUNSET BLVD # 96
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-4312
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UNIVERSITY CHILDRENS MEDICAL GROUP is a plastic surgery in Los Angeles, 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. UNIVERSITY CHILDRENS MEDICAL GROUP NPI is 1033394788. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4650 W SUNSET BLVD # 96
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-4312

The provider's authorized official is Mark Sadamitsu .
The authorized official title is Chief Financial Officer and has the following contact phone number (323) 361-2345.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.


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 SurgeryYes

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
1GR006667LMEDICAIDCALIFORNIA

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: 11/14/2023

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