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CALIFORNIA FACE INSTITUTE APC NPI 1306438858


NPI Information

NPI: 1306438858
Provider Name: CALIFORNIA FACE INSTITUTE APC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

CLIA Number: 05D2065860

Address:
6850 BROCKTON AVE STE 108
RIVERSIDE, CA
ZIP 92506
Phone: (951) 313-6843
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CALIFORNIA FACE INSTITUTE APC is a plastic surgery within the head and neck plastic surgery in Riverside, 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. CALIFORNIA FACE INSTITUTE APC NPI is 1306438858. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6850 BROCKTON AVE STE 108
RIVERSIDE, CA
ZIP 92506-814
Phone: (951) 313-6843
Fax: (951) 800-1850

The provider's authorized official is Amar Gupta .
The authorized official title is President and has the following contact phone number (951) 313-6843.

The CLIA number assigned to this NPI record is 05D2065860 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2021 and was last updated on 8/30/2021.


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
1207Y00000XOtolaryngologyNo
2207YS0123XOtolaryngologyFacial Plastic SurgeryNo
32082S0099XPlastic 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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