Bedford Reconstructive Surgery Pc

LBN: Bedford Reconstructive Surgery Pc
Bedford Reconstructive Surgery Pc is an health care organization with primary practice located at 417 Via Anita , Redondo Beach CA 90277-6623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Bedford Reconstructive Surgery Pc can be contacted via phone (516) 439-5160, or through Ip, Tze Yung via phone (516) 439-5160.

Contact Information

Primary practice address
417 Via Anita Redondo Beach CA 90277-6623
Phone: (516) 439-5160
Fax: (516) 439-5161
Website:
Map and Directions
Authorized official contact:
Name: Ip, Tze Yung Doctor of Medicine (MD)
Phone: (516) 439-5160

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1346715877
LBN Legal business name Bedford Reconstructive Surgery Pc
DBA Doing business as
Authorized official Ip, Tze Yung Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated Oct 11th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346715877 NPPES
California Other A063154 MEDICAL LICENSE BOARD OF CALIFORNIA

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