# PACIFIC BREAST INSTITUTE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** O D ASCHA,MD APC
- **Other names:** Cosmetic Surgery Associates Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619380896
- **Legal business name:** O D ASCHA,MD APC
- **Authorized official:** DR. OSSAMA DEAYA ASCHA MD (PRESIDENT)
- **Authorized official phone:** (909) 629-6417

## Contact information

- **Practice address:** 350 VINTON AVE, SUITE 202, POMONA, CA 91767-3000
- **Practice address phone:** (909) 629-6417
- **Practice address fax:** (909) 629-4755
- **Mailing address:** 20160 E LIMECREST DR, COVINA, CA 91724-3945
- **Mailing address phone:** (909) 629-6417
- **Mailing address fax:** (909) 629-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A26396 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/05/2014