SKY FACIAL PLASTIC SURGERY INC NPI 1801138946

NPI Information

SKY FACIAL PLASTIC SURGERY, INC is an otolaryngology/facial plastic surgery otolaryngology in San Diego, CA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SKY FACIAL PLASTIC SURGERY, INC NPI is 1801138946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16918 DOVE CANYON RD
SUITE 208
SAN DIEGO, CA
ZIP 92127-445
Phone: (858) 381-4801

The provider's authorized official is Sirius K Yoo .
The authorized official title is President/ceo and has the following contact phone number (858) 381-4801.

The CLIA number assigned to this NPI record is 05D2127760 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 2/26/2015.

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:

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