Individual provider · Type 1 NPI

Timothy Justin Gillenwater, MD

Plastic Surgery Physician · Los Angeles, CA

NPI number 1275763922 Active

Practice location

1450 San Pablo St Ste 6200
Los Angeles, CA 90033-5331

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XA108333 (CA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1275763922

Timothy Justin Gillenwater, MD's National Provider Identifier is 1275763922, issued on Jul 15, 2009. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 27, 2023.