PASADENA PLASTIC SURGERY CENTER INC NPI 1295978401

NPI Information

NPI: 1295978401
Provider Name: PASADENA PLASTIC SURGERY CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1103567

Address:
452 NORTH ALTADENA DRIVE
PASADENA, CA
ZIP 91107
Phone: (626) 432-5032
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PASADENA PLASTIC SURGERY CENTER INC is an ambulatory surgical clinic center in Pasadena, CA. PASADENA PLASTIC SURGERY CENTER INC NPI is 1295978401. The provider is registered as an organization entity type.

The provider's business location address is:

452 NORTH ALTADENA DRIVE
PASADENA, CA
ZIP 91107
Phone: (626) 432-5032
Fax: (626) 432-5030

The provider's authorized official is Vincent C Hung .
The authorized official title is Medical Director and has the following contact phone number (626) 432-5032.

The CLIA number assigned to this NPI record is 05D1103567 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 8/13/2014.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	G40766	CALIFORNIA	Yes

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: 4/28/2024

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