Northridge Facial Plastic Surgery Medical Group a Professional Corp
NPI #1003824434 in Northridge, California
Provider Information
- NPI Number
- 1003824434
- Entity Type
- Organization
- Organization Name
- Northridge Facial Plastic Surgery Medical Group a Professional Corp
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Oct 25, 2022
Practice Location
- Address
- 18350 ROSCOE BLVD
- Address 2
- #318A
- City
- Northridge
- State
- California
- ZIP Code
- 91325-4109
- Phone
- (818) 993-9824
Authorized Official
- Name
- DR. MARC M KERNER, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (818) 349-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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