UCR HEALTH- PLASTIC & RECONSTRUCTIVE SURGERY NPI 1659744175

NPI Information

  • NPI: 1659744175
  • Provider Name: UCR HEALTH- PLASTIC & RECONSTRUCTIVE SURGERY
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 10694 MAGNOLIA AVE
    RIVERSIDE, CA
    ZIP 92505
  • Phone: (951) 827-7587

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NPI Details

UCR HEALTH- PLASTIC & RECONSTRUCTIVE SURGERY is a medical specialty clinic center in Riverside, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). UCR HEALTH- PLASTIC & RECONSTRUCTIVE SURGERY NPI is 1659744175. The provider is registered as an organization entity type.

The provider's business location address is:

10694 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505-816
Phone: (951) 827-7587
Fax: (951) 402-2802

The provider's authorized official is John Heydt .
The authorized official title is Chief Executive Officer and has the following contact phone number (714) 456-2986.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 3/30/2025

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