Burbank Plastic Surgery Associates Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

BURBANK PLASTIC SURGERY ASSOCIATES INC

Practice address

181 S Buena Vista St FL 3
Burbank, CA 91505-4504

Phone

(818) 748-4930

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Stevuni Harrison

Title

Credentialing

Phone

(909) 710-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1194593004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 MILLER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900691419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST FL 3",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-748-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK PLASTIC SURGERY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "STEVUNI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "909-710-2020"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Burbank Plastic Surgery Medical Group
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• Burbank Preferred Provider Medical Group, Inc
• Burbank Spine and Pain Surgery Center a Professional Medical Corp

• All providers in Burbank, CA
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.