Active NPI
Elite E.N.T. & Plastic Surgery Medical Center, Inc.
- Otolaryngology/Facial Plastic Surgery Physician
- Garden Grove, CA
National Provider Identifier
1083864490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 20A 7627
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 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 DirectoryLocations
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Garden Grove, CA
- NPI 1205918299
-
- Facial Plastic Surgery Physician
- Westminster, CA
- NPI 1215960943
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.