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Organization
PLASTICARE SURGERY CENTER LLC
Active
Organization
PLASTICARE SURGERY CENTER LLC
Active
Other names
Plasticare Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
IKONIJA SEKULOVICH JOY MD (DIRECTOR PLASTICARE SURGERY CENTER)
(562) 427-8944
Entity
Organization
Contact information
Practice address
920 EAST WARDLOW ROAD, LONG BEACH, CA 90807-4630
(562) 427-8944
(562) 427-4086
Mailing address
920 EAST WARDLOW ROAD, LONG BEACH, CA 90807-4630
(562) 427-8944
(562) 427-4086
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G25370
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1386(AAAASF)
IL
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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