Organization
PLASTICARE SURGERY CENTER LLC
Active
Other names
Plasticare Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
IKONIJA SEKULOVICH JOY MD (DIRECTOR PLASTICARE SURGERY CENTER)
(562) 427-8944
Entity
Organization
Contact information
Practice address
920 EAST WARDLOW ROAD, LONG BEACH, CA 90807-4630
(562) 427-8944
(562) 427-4086
Mailing address
920 EAST WARDLOW ROAD, LONG BEACH, CA 90807-4630
(562) 427-8944
(562) 427-4086
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G25370
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1386(AAAASF)
IL
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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