Organization · Type 2 NPI

Northridge Facial Plastic Surgery Medical Group A Professional Corp

Ambulatory Surgical Clinic/Center · Northridge, CA

NPI number 1003824434 Active

Practice location

18350 Roscoe Blvd, #318A
Northridge, CA 91325-4109

Call (818) 993-9824 Map

Fax (818) 993-0937

Mailing address

18350 Roscoe Blvd # 318A
Northridge, CA 91325-4109

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XS051366 (CA)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1003824434

Northridge Facial Plastic Surgery Medical Group A Professional Corp's National Provider Identifier is 1003824434, issued on Aug 3, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Northridge, CA. The record was last updated on Oct 25, 2022.