Organization
GEMINI PLASTIC SURGERY ASSOCIATES
Active
Other names
Gemini Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GEMINI PLASTIC SURGERY MD (PRESIDENT)
(909) 463-0715
Entity
Organization
Contact information
Practice address
10888 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-7651
(909) 463-0715
(909) 463-0675
Mailing address
10888 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-7651
(909) 463-0715
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
04/29/2025
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