PREMIUM EXTREMITY CARE INC. NPI 1427786367

NPI Information

  • NPI: 1427786367
  • Provider Name: PREMIUM EXTREMITY CARE, INC.
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 843 E FOOTHILL BLVD
    UPLAND, CA
    ZIP 91786
  • Phone: (909) 982-1002

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NPI Details

PREMIUM EXTREMITY CARE, INC. is a plastic surgery in Upland, 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. PREMIUM EXTREMITY CARE, INC. NPI is 1427786367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

843 E FOOTHILL BLVD
UPLAND, CA
ZIP 91786-034
Phone: (909) 982-1002

The provider's authorized official is Ali Heidari .
The authorized official title is Owner/ceo and has the following contact phone number (909) 982-1002.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 8/9/2022.

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
1208200000XPlastic SurgeryYes

What is NPI?

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

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