Organization · Type 2 NPI
Plastic and Reconstructive Care, LLC
Plastic and Reconstructive Surgery Physician · Beverly Hills, CA
NPI number
1962979484
Active
Practice location
9735 Wilshire Blvd Ph
Beverly Hills, CA 90212-2104
Mailing address
3505 Alma Ave
Manhattan Beach, CA 90266-3330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
| Ambulatory Surgical Clinic/Center | 261QA1903X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
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About NPI 1962979484
Plastic and Reconstructive Care, LLC's National Provider Identifier is 1962979484, issued on Nov 2, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Beverly Hills, CA. The record was last updated on Mar 5, 2019.