# CENTRE FOR PLASTIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225279953
- **Authorized official:** DAVID-TRUNG D. NGUYEN (PRESIDENT)
- **Authorized official phone:** (909) 883-8686

## Contact information

- **Practice address:** 1869 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4830
- **Practice address phone:** (909) 883-8686
- **Practice address fax:** (909) 881-6537
- **Mailing address:** 1869 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4830
- **Mailing address phone:** (909) 883-8686
- **Mailing address fax:** (909) 881-6537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A82169 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2009
- **Last updated:** 01/27/2014