PASADENA PLASTIC SURGERY CENTER INC NPI 1295978401

NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
• Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
• Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm (HCPCS:14021)
• Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less (HCPCS:15240)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• Transfer of skin flap to eyelids, nose, ears, or lips (HCPCS:15630)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
• Creation of flap graft to eyelids, nose, ears, lips, or mouth (HCPCS:15576)

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: