Provider Demographics
NPI:1871747923
Name:ADVANCED INSTITUTE FOR PLASTIC SURGERY INC
Entity type:Organization
Organization Name:ADVANCED INSTITUTE FOR PLASTIC SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:YOONAH
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-699-9201
Mailing Address - Street 1:41540 WINCHESTER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4877
Mailing Address - Country:US
Mailing Address - Phone:951-699-9201
Mailing Address - Fax:
Practice Address - Street 1:41540 WINCHESTER RD
Practice Address - Street 2:SUITE B
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4877
Practice Address - Country:US
Practice Address - Phone:951-699-9201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ00833ZOtherMEDICARE PROVIDER NUMBER
CA00A697171Medicare PIN
CA00A744460Medicare PIN
CAZZZ00833ZOtherMEDICARE PROVIDER NUMBER
CAI35535Medicare UPIN