Organization
BEDFORD RECONSTRUCTIVE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TZE YUNG IP MD (MEDICAL DOCTOR)
(516) 439-5160
Entity
Organization
Contact information
Practice address
417 VIA ANITA, REDONDO BEACH, CA 90277-6623
(516) 439-5160
(516) 439-5161
Mailing address
2631 MERRICK RD STE 200, BELLMORE, NY 11710-5784
(516) 439-5160
(516) 439-5161
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A063154
MEDICAL LICENSE BOARD OF CALIFORNIA
CA
Enumeration date
10/11/2018
Last updated
10/11/2018
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