# PASADENA PLASTIC SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1295978401
- **Authorized official:** DR. VINCENT C HUNG MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (626) 432-5032

## Contact information

- **Practice address:** 452 NORTH ALTADENA DRIVE, PASADENA, CA 91107
- **Practice address phone:** (626) 432-5032
- **Practice address fax:** (626) 432-5030
- **Mailing address:** 452 N ALTADENA DR, SUITE 210, PASADENA, CA 91107
- **Mailing address phone:** (626) 792-5400
- **Mailing address fax:** (626) 792-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G40766 | CA | Yes |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 08/13/2014