Organization
PRESTIGE MEDICAL MANAGEMENT INC.
Active
Other names
Aesthetic Plastic Surgery Institute of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIGORIO ARRELLANO CALAYCAY JR. M.D. (MEDICAL DIRECTOR ANDPLASTIC SURGEON)
(909) 623-1517
Entity
Organization
Contact information
Practice address
1980 N ORANGE GROVE AVE, POMONA, CA 91767-3008
(909) 623-1517
(909) 623-1510
Mailing address
1980 N ORANGE GROVE AVE, POMONA, CA 91767-3008
(909) 623-1517
(909) 623-1510
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A25340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A253400
—
CA
Enumeration date
12/19/2006
Last updated
08/27/2009
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