LOS ANGELES ENT FACIAL PLASTICS CENTER, INC (NPI# 1225463797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225463797 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES ENT FACIAL PLASTICS CENTER, INC |
| Practice Address |
520 N Prospect Ave Suite 302 Redondo Beach CA 90277-3041 |
| Mailing Address |
12409 Lincolnshire Dr Bakersfield CA 93311-9584 |
| Practice Telephone | 3107981515 |
| Mailing Telephone | 2017250138 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2014-08-20 |
| Authorized Official Name | DR. SHERIF AMMAR (PRESIDENT) |
| Authorized Official Telephone | 2017250138 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
C52571 | CA | Ambulatory Health Care Facilities |
| Street Address |
520 N PROSPECT AVE SUITE 302 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779660 | William James Wickwire | Dermatology | 520 N Prospect Ave, Ste 302, Redondo Beach, CA 90277-3043 | 2005-06-08 |
| 1265980437 | Nitin Bhakta | Pharmacist | 520 N Prospect Ave, Suite 110, Redondo Beach, CA 90277-3041 | 2016-09-16 |
| 1356799415 | A. R. I. Clinical Trials, Inc. | Clinic/Center | 520 N Prospect Ave, Suite 201, Redondo Beach, CA 90277-3041 | 2016-05-31 |
| 1962866483 | Jamie W Wu | Registered Nurse | 520 N Prospect Ave, Suite 203, Redondo Beach, CA 90277-3041 | 2016-04-11 |
| 1053669390 | Brenda Shen | Family Medicine | 520 N Prospect Ave, Suite 103, Redondo Beach, CA 90277-3041 | 2012-08-16 |
| 1346536968 | Sitaraman Jyotheeswaran Md Facp A Medical Corporation | Internal Medicine | 520 N Prospect Ave, Suite # 304, Redondo Beach, CA 90277-3041 | 2011-06-22 |
| 1952617342 | Lewis Wong | Family Medicine | 520 N Prospect Ave, Redondo Beach, CA 90277-3041 | 2010-08-24 |
| 1942452453 | Michael S. Greiner | Chiropractor | 520 N Prospect Ave, Ste # 201, Redondo Beach, CA 90277-3041 | 2008-10-15 |
| 1164672796 | Melody Lee | Nurse Practitioner | 520 N Prospect Ave, Redondo Beach, CA 90277-3041 | 2008-09-18 |
| 1326201435 | Scott Lockwood | Physical Therapist | 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277-3041 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| Find all providers with the same taxonomy | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on LOS ANGELES ENT FACIAL PLASTICS CENTER, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.