GEMINI PLASTIC SURGERY ASSOCIATES NPI 1356938948

NPI Information

  • NPI: 1356938948
  • Provider Name: GEMINI PLASTIC SURGERY ASSOCIATES
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • :
  • Address: 10888 FOOTHILL BLVD
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 463-0715

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NPI Details

GEMINI PLASTIC SURGERY ASSOCIATES is a plastic and reconstructive surgery surgery in Rancho Cucamonga, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. GEMINI PLASTIC SURGERY ASSOCIATES NPI is 1356938948. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

10888 FOOTHILL BLVD
RANCHO CUCAMONGA, CA
ZIP 91730-651
Phone: (909) 463-0715
Fax: (909) 463-0675

The provider's authorized official is Gemini Plastic Surgery .
The authorized official title is President and has the following contact phone number (909) 463-0715.

The enumeration date for this NPI number is 12/29/2020 and was last updated on 4/29/2025.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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This page was last updated on: 11/21/2025

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