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Contact Information

GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC.
1500 S. CENTRAL AVE. #126
GLENDALE, CA91204
 Phone: 818-247-4894
 Fax: 818-247-4163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GLENDALE PLASTIC AND RECONSTRUCTIVE SURGERY INC · (Female)

NPI Number 1548521156
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2012
Last updated 05/31/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A45955
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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