Organization Active NPI

Elite E.N.T. & Plastic Surgery Medical Center, Inc.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Garden Grove, CA
National Provider Identifier
1083864490
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
20A 7627 Issued in CA
Legal business name
ELITE E.N.T. & PLASTIC SURGERY MEDICAL CENTER, INC.
Practice address
13132 Magnolia St
Garden Grove, CA 92844-1326
Phone
(714) 590-8900
NPI assigned
Sep 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Dinh
Title
President
Phone
(714) 590-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X 20A 7627 CA Primary

Addresses

Primary practice location

13132 Magnolia St
Garden Grove, CA 92844-1326

Mailing address

13132 Magnolia St
Garden Grove, CA 92844-1326
Phone (714) 590-8900

National Provider Directory

National Provider Directory

Locations

13132 Magnolia St
Garden Grove, CA 92844
Phone (714) 590-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1083864490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441326",
            "telephone_number": "714-590-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441326",
            "telephone_number": "714-590-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE E.N.T. & PLASTIC SURGERY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-590-8900"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "20A 7627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.