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LOS ANGELES ENT FACIAL PLASTICS CENTER INC NPI 1225463797


NPI Information

NPI: 1225463797
Provider Name: LOS ANGELES ENT FACIAL PLASTICS CENTER, INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
520 N PROSPECT AVE
SUITE 302
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 798-1515
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LOS ANGELES ENT FACIAL PLASTICS CENTER, INC is a medical specialty clinic center in Redondo Beach, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LOS ANGELES ENT FACIAL PLASTICS CENTER, INC NPI is 1225463797. The provider is registered as an organization entity type.

The provider's business location address is:

520 N PROSPECT AVE
SUITE 302
REDONDO BEACH, CA
ZIP 90277-041
Phone: (310) 798-1515

The provider's authorized official is Sherif Ammar .
The authorized official title is President and has the following contact phone number (201) 725-0138.

The enumeration date for this NPI number is 9/3/2013 and was last updated on 8/20/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyC52571CALIFORNIAYes

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: 5/5/2024

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