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J S VINCENT MEDICAL GROUP LLC NPI 1164021598


NPI Information

NPI: 1164021598
Provider Name: J S VINCENT MEDICAL GROUP LLC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA
ZIP 90039
Phone: (770) 895-8483
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J S VINCENT MEDICAL GROUP LLC is a plastic surgery within the head and neck plastic surgery in Los Angeles, CA. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. J S VINCENT MEDICAL GROUP LLC NPI is 1164021598. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA
ZIP 90039-599
Phone: (770) 895-8483

The provider's authorized official is John Butora .
The authorized official title is Billing Manager and has the following contact phone number (562) 787-0225.

The enumeration date for this NPI number is 10/17/2020 and was last updated on 10/18/2020.


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
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckYes

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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