J S Vincent Medical Group LLC
NPI #1164021598 in Los Angeles, California
Provider Information
- NPI Number
- 1164021598
- Entity Type
- Organization
- Organization Name
- J S Vincent Medical Group LLC
- Primary Specialty
- Plastic Surgery - Plastic Surgery Within the Head and Neck
- Enumeration Date
- Oct 17, 2020
- Last Updated
- Oct 18, 2020
Practice Location
- Address
- 3111 LOS FELIZ BLVD STE 103
- City
- Los Angeles
- State
- California
- ZIP Code
- 90039-1599
- Phone
- (770) 895-8483
Authorized Official
- Name
- JOHN BUTORA
- Title
- BILLING MANAGER
- Phone
- (562) 787-0225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery - Plastic Surgery Within the Head and Neck — Plastic Surgery Within the Head and Neck |
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