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MAXILLOFACIAL SURGICAL ARTS NPI 1174702187


NPI Profile

NPI: 1174702187
Provider Name: MAXILLOFACIAL SURGICAL ARTS
Classification:Specialist - 174400000X
Entity Type: Organization
Address:
9066 TAMPA AVE
NORTHRIDGE, CA
ZIP 91324
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Phone: (818) 993-5700

MAXILLOFACIAL SURGICAL ARTS is a specialist in Northridge, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MAXILLOFACIAL SURGICAL ARTS NPI is 1174702187. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9066 TAMPA AVE
NORTHRIDGE, CA
ZIP 91324-523
Phone: (818) 993-5700

The provider's authorized official is Robert Relle .
The authorized official title is Partner and has the following contact phone number (818) 993-5700.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/25/2007.


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
1174400000XSpecialist034203CALIFORNIAYes

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: 9/12/2021

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