# PV PENINSULA PLASTIC SURGERY CENTER

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

## Provider details

- **NPI number:** 1740491422
- **Authorized official:** DR. RONALD FRANK ROSSO M.D. (MEDICAL DI RECTOR)
- **Authorized official phone:** (310) 326-3636

## Contact information

- **Practice address:** 3400 LOMITA BLVD, SUITE \#306, TORRANCE, CA 90505-4909
- **Practice address phone:** (310) 326-3636
- **Practice address fax:** (310) 326-6448
- **Mailing address:** 3400 LOMITA BLVD, SUITE \#306, TORRANCE, CA 90505-4909
- **Mailing address phone:** (310) 326-3636
- **Mailing address fax:** (310) 326-6448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G79401 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020