Heavenly Plastic Surgery, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

HEAVENLY PLASTIC SURGERY, PC

Practice address

29300 Portola Pkwy
Lake Forest, CA 92630-8718

Phone

(657) 333-5497

NPI assigned

Sep 3, 2018

Last updated

Sep 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Nguyen, MD

Title

Ceo

Phone

(310) 980-3715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard R Moy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Forest, CA
  • NPI 1700831971
  NPD (past)

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1639651011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29300 PORTOLA PKWY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308718",
            "telephone_number": "657-333-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29300 PORTOLA PKWY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308718",
            "telephone_number": "657-333-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-980-3715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Hashemi Serna
• Heal and Thrive Psychotherapy
• Healing Greens LLC (Genetic Nutrition Counseling)
• Health and Wellness Center, Inc.
• Health Talent Strategies
• Iliana Beatrix Hendrix, CST
• Sandra Hepler
• Rylie Herbel, COTA
• Shasta Charlien Hernandez Borges
• Aurora Belem Hernandez Sanchez

• Plastic and Reconstructive Surgery Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.