PLASTIC REJUVENATION MEDICAL PROFESSIONAL CORPORATION NPI 1144078569

NPI Information

  • NPI: 1144078569
  • Provider Name: PLASTIC REJUVENATION MEDICAL PROFESSIONAL CORPORATION
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 25408 CRENSHAW BLVD
    TORRANCE, CA
    ZIP 90505
  • Phone: (818) 518-5980

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NPI Details

PLASTIC REJUVENATION MEDICAL PROFESSIONAL CORPORATION is a plastic surgery in Torrance, 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. PLASTIC REJUVENATION MEDICAL PROFESSIONAL CORPORATION NPI is 1144078569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25408 CRENSHAW BLVD
TORRANCE, CA
ZIP 90505-123
Phone: (818) 518-5980

The provider's authorized official is Dennis Alwen .
The authorized official title is Practice Manager and has the following contact phone number (818) 518-5980.

The enumeration date for this NPI number is 5/9/2024 and was last updated on 5/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

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This page was last updated on: 3/30/2025

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