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Organization
PASADENA PLASTIC SURGERY CENTER INC
Active
Organization
PASADENA PLASTIC SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT C HUNG MD (MEDICAL DIRECTOR)
(626) 432-5032
Entity
Organization
Contact information
Practice address
452 NORTH ALTADENA DRIVE, PASADENA, CA 91107
(626) 432-5032
(626) 432-5030
Mailing address
452 N ALTADENA DR, SUITE 210, PASADENA, CA 91107
(626) 792-5400
(626) 792-5410
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G40766
CA
Other
Enumeration date
04/17/2009
Last updated
08/13/2014
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