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Contact Information

SANDIA PLASTIC SURGERY, PC
801 ENCINO PLACE NE
SUITE D7
ALBUQUERQUE, NM87102
 Phone: 505-842-0066
 Fax: 505-842-9325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SANDIA PLASTIC SURGERY, PC

NPI # 1407171408
LBN Legal business name SANDIA PLASTIC SURGERY, PC
Authorized official JENNIFER CHAN - (OWNER/SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/01/2010
Last updated 04/15/2015 - About 11 years ago
Identifiers
NM License # MD2007-0451
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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