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Organization

INNOVATIVE PLASTIC & COSMETIC SURGERY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHANG THAI NGUYEN MD (PRESIDENT)
(858) 457-2888
Entity
Organization

Contact information

Practice address
6610 FLANDERS DR, SUITE 101, SAN DIEGO, CA 92121-3940
(858) 457-2888
(888) 347-0124
Mailing address
6610 FLANDERS DR, SUITE 101, SAN DIEGO, CA 92121-3940
(858) 457-2888
(888) 347-0124

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A90876
CA

Other

Enumeration date
03/16/2008
Last updated
07/21/2015
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