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PRESTIGE MEDICAL MANAGEMENT INC. NPI 1306909494


NPI Information

NPI: 1306909494
Provider Name: PRESTIGE MEDICAL MANAGEMENT INC.

Doing Business As: AESTHETIC PLASTIC SURGERY INSTITUTE OF SOUTHERN CALIFORNIA

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1980 N ORANGE GROVE AVE
POMONA, CA
ZIP 91767
Phone: (909) 623-1517
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PRESTIGE MEDICAL MANAGEMENT INC. is a plastic surgery in Pomona, CA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PRESTIGE MEDICAL MANAGEMENT INC. NPI is 1306909494. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aesthetic Plastic Surgery Institute Of Southern California.

The provider's business location address is:

1980 N ORANGE GROVE AVE
POMONA, CA
ZIP 91767-008
Phone: (909) 623-1517
Fax: (909) 623-1510

The provider's authorized official is Ligorio Arrellano Calaycay .
The authorized official title is Medical Director Andplastic Surgeon and has the following contact phone number (909) 623-1517.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/27/2009.


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
1208200000XPlastic SurgeryA25340CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W21085MEDICARE PINCALIFORNIA
200A253400MEDICAIDCALIFORNIA
3ZZZ05568ZMEDICARE PINCALIFORNIA

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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