Prestige Medical Management

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A25340 Issued in CA

Legal business name

PRESTIGE MEDICAL MANAGEMENT

Practice address

1980 N Orange Grove Ave
Pomona, CA 91767-3008

Phone

(909) 623-1517

Fax

(909) 623-1510

NPI assigned

Aug 13, 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 Arellano Calaycay Jr., M.D.

Title

Medical Director, Surgeon

Phone

(909) 623-1517

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Plastic Surgery Institute Of Southern California, Med. Corp Doing business as

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891707006",
    "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALAYCAY",
        "authorized_official_first_name": "LIGORIO",
        "authorized_official_middle_name": "ARELLANO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR, 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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A25340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Plastic Surgery Institute Of Southern California, Med. Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Press
• 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 Inc.
• Prestigious Health Services Inc
• Jay David Preston, D.D.S.
• Elsa Prewett
• Darmawan Pribadi, DDS

• Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.