Organization · Type 2 NPI
Plastic Surgery So Cal Medical Group, Inc.
Plastic and Reconstructive Surgery Physician · Claremont, CA
NPI number
1609178961
Active
Practice location
250 W 1st St Ste 116
Claremont, CA 91711
Fax (909) 624-4448
Other practice locations
- 350 Vinton Ave, Suite 102, Pomona, CA 91767-3000 · (909) 865-0400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A78108 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1609178961
Plastic Surgery So Cal Medical Group, Inc.'s National Provider Identifier is 1609178961, issued on Nov 18, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Claremont, CA. The record was last updated on Nov 20, 2018.