NPI Registry.org

J S Vincent Medical Group Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
J S VINCENT MEDICAL GROUP LLC11640215982020-10-18

The organization J S Vincent Medical Group Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1164021598. Registration indicates J S Vincent Medical Group Llc is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Plastic Surgery (Plastic Surgery: Plastic Surgery Within the Head and Neck, ) (Plastic Surgery Plastic Surgery Within the Head and Neck, Allopathic & Osteopathic Physicians) (Plastic Surgery, )

Entity TypeOrganization
Provider OrganizationJ S VINCENT MEDICAL GROUP LLC
Practice Office Address3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA US
Practice Office Telephone7708958483
Mailing Address3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA 900391599 US
Business Telephone7708958483
Authorized OfficialJOHN BUTORA, BILLING MANAGER
5627870225
HPT Codes
CodePractice
License No
State
2082S0099X PRIMARY
Allopathic & Osteopathic Physicians
Plastic Surgery
Plastic Surgery: Plastic Surgery Within the Head and Neck

Plastic Surgery Plastic Surgery Within the Head and Neck
Allopathic & Osteopathic Physicians
Plastic Surgery
193400000X SINGGroup Code
OPI Codes
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