Prestige Medical Management Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A25340 Issued in CA

Legal business name

PRESTIGE MEDICAL MANAGEMENT INC.

Practice address

1980 N Orange Grove Ave
Pomona, CA 91767-3008

Phone

(909) 623-1517

Fax

(909) 623-1510

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ligorio Arrellano Calaycay Jr., M.D.

Title

Medical Director Andplastic Surgeon

Phone

(909) 623-1517

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aesthetic Plastic Surgery Institute of Southern California Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1306909494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673008",
            "telephone_number": "909-623-1517",
            "fax_number": "909-623-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673008",
            "telephone_number": "909-623-1517",
            "fax_number": "909-623-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "CALAYCAY",
        "authorized_official_first_name": "LIGORIO",
        "authorized_official_middle_name": "ARRELLANO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR ANDPLASTIC SURGEON",
        "authorized_official_telephone_number": "909-623-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A25340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A253400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Plastic Surgery Institute of Southern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prestige Medical Clinic and Urgent Care
• Prestige Medical Clinic and Urgent Care Inc
• Prestige Medical Clinic and Urgent Care Inc
• Prestige Medical Clinic and Urgent Care,Inc
• Prestige Medical Management
• Prestigious Health Services Inc
• Jay David Preston, D.D.S.
• Elsa Prewett
• Darmawan Pribadi, DDS
• Kenna Price

• Plastic Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.