CHRISTINE PETTI MD, INC. – NPI #1538259080
Clinic/Center

CHRISTINE PETTI MD, INC. is an AHC clinic located in TORRANCE, CA. NPPES has assigned the NPI number 1538259080 to CHRISTINE PETTI MD, INC. on October 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PALOS VERDES PLASTIC SURGERY. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Dec 08, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTINE PETTI MD, INC. below.

NPI Profile for
CHRISTINE PETTI MD, INC.

NPI Number
1538259080
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHRISTINE PETTI MD, INC.
Former Legal Business Name: PALOS VERDES PLASTIC SURGERY
Primary location
23365 HAWTHORNE BLVD STE 102
TORRANCE, CA 90505-3736
Phone: (310) 539-5888 Fax: (310) 517-9916
Mailing address
30911 RUE LANGLOIS
RANCHO PALOS VERDES, CA 90275-5330
Phone: (310) 750-7363 Fax: (424) 237-2336
Organization Subpart
No
Authorized Official
CHRISTINE PETTI
OWNER
Phone: (310) 517-8689
Updated
Certification Date
Dec 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.