PLASTICARE SURGERY CENTER LLC NPI 1437402054

NPI Information

NPI: 1437402054
Provider Name: PLASTICARE SURGERY CENTER LLC

Former Legal Business Name: PLASTICARE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
920 EAST WARDLOW ROAD
LONG BEACH, CA
ZIP 90807
Phone: (562) 427-8944
Get Directions

PLASTICARE SURGERY CENTER LLC is an ambulatory surgical clinic center in Long Beach, CA. PLASTICARE SURGERY CENTER LLC NPI is 1437402054. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Plasticare Surgery Center.

The provider's business location address is:

920 EAST WARDLOW ROAD
LONG BEACH, CA
ZIP 90807-630
Phone: (562) 427-8944
Fax: (562) 427-4086

The provider's authorized official is Ikonija Sekulovich Joy .
The authorized official title is Director Plasticare Surgery Center and has the following contact phone number (562) 427-8944.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 10/19/2012.

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
1	208200000X	Plastic Surgery		G25370	CALIFORNIA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	1386(AAAASF)	ILLINOIS	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »