# DANIEL B LENSINK MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DANIEL B LENSINK MD MEDICAL CORPORATION
- **Other names:** Oculofacial Plastic Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619411519
- **Legal business name:** DANIEL B LENSINK MD MEDICAL CORPORATION
- **Authorized official:** MR. DANIEL B LENSINK MD (PRESIDENT)
- **Authorized official phone:** (530) 229-7700

## Contact information

- **Practice address:** 2770 EUREKA WAY, STE 300, REDDING, CA 96001-0252
- **Practice address phone:** (530) 229-7700
- **Practice address fax:** (530) 229-3945
- **Mailing address:** 2770 EUREKA WAY, STE 300, REDDING, CA 96001-0252
- **Mailing address phone:** (530) 229-7700
- **Mailing address fax:** (530) 229-3945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G599260 | CA | Yes |

## Other

- **Enumeration date:** 12/12/2016
- **Last updated:** 07/21/2022