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CONGRESS COSMETIC MEDICAL CORP NPI 1528129194


NPI Information

NPI: 1528129194
Provider Name: CONGRESS COSMETIC MEDICAL CORP
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10 CONGRESS ST
SUITE # 320
PASADENA, CA
ZIP 91105
Phone: (626) 585-9474
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CONGRESS COSMETIC MEDICAL CORP is a clinic center in Pasadena, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CONGRESS COSMETIC MEDICAL CORP NPI is 1528129194. The provider is registered as an organization entity type.

The provider's business location address is:

10 CONGRESS ST
SUITE # 320
PASADENA, CA
ZIP 91105-023
Phone: (626) 585-9474
Fax: (626) 585-9480

The provider's authorized official is Marilyn Ann Mehlmauer .
The authorized official title is President and has the following contact phone number (626) 585-9474.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/29/2016.


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
1261Q00000XClinic/CenterGO35270CALIFORNIAYes

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
1A46288MEDICARE UPINCALIFORNIA
2GO35270OTHERCALIFORNIALICENSE NUMBER
3W16113OTHERCALIFORNIAPTAN

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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