COSMETICSURG.NET – NPI #1578763199
Clinic/Center

COSMETICSURG.NET is an AHC clinic located in LUTHERVILLE-TIMONIUM, MD. NPPES has assigned the NPI number 1578763199 to COSMETICSURG.NET on July 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COSMETICSURG.NET” is a dba name, the actual legal business name for this organization is COSMETIC SURGERY FACILITY LLC. With multiple taxonomy codes selected, 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 12 years ago on Apr 15, 2014. 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 COSMETICSURG.NET below.

NPI Profile for
COSMETIC SURGERY FACILITY LLC

NPI Number
1578763199
Enumeration Date

(about 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
COSMETIC SURGERY FACILITY LLC
Doing Business As (dba): COSMETICSURG.NET
Primary location
1300 BELLONA AVE
SUITE C
LUTHERVILLE-TIMONIUM, MD 21093-5465
Phone: (410) 494-8100 Fax: (410) 494-0815
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICARDO RODRIGUEZ
MEDICAL DIRECTOR
Phone: (410) 494-8100
Updated
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)
208200000X
- Plastic Surgery		 MD D41395

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.