BALIKIAN FACIAL PLASTIC SURGERY AMC NPI 1619162120

NPI Information

BALIKIAN FACIAL PLASTIC SURGERY, AMC is a specialist in Temecula, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BALIKIAN FACIAL PLASTIC SURGERY, AMC NPI is 1619162120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41715 WINCHESTER RD
SUITE 205
TEMECULA, CA
ZIP 92590-808
Phone: (951) 719-2950
Fax: (951) 719-2951

The provider's authorized official is Richard V Balikian .
The authorized official title is President and has the following contact phone number (951) 719-2950.

The CLIA number assigned to this NPI record is 05D2267058 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.

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:

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