PACIFIC BREAST INSTITUTE MEDICAL GROUP – NPI #1619380896
Clinic/Center

PACIFIC BREAST INSTITUTE MEDICAL GROUP is an AHC clinic located in POMONA, CA. NPPES has assigned the NPI number 1619380896 to PACIFIC BREAST INSTITUTE MEDICAL GROUP on June 05, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PACIFIC BREAST INSTITUTE MEDICAL GROUP is also known by the name COSMETIC SURGERY ASSOCIATES MEDICAL GROUP. 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

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 PACIFIC BREAST INSTITUTE MEDICAL GROUP below.

NPI Profile for
PACIFIC BREAST INSTITUTE MEDICAL GROUP

NPI Number
1619380896
Enumeration Date

(more than 12 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
PACIFIC BREAST INSTITUTE MEDICAL GROUP
Other Name: COSMETIC SURGERY ASSOCIATES MEDICAL GROUP
Primary location
350 VINTON AVE
SUITE 202
POMONA, CA 91767-3000
Phone: (909) 629-6417 Fax: (909) 629-4755
Mailing address
20160 E LIMECREST DR
COVINA, CA 91724-3945
Phone: (909) 629-6417 Fax: (909) 629-4755
Organization Subpart
Yes - PACIFIC BREAST INSTITUTE MEDICAL GROUP is subpart of another organization.
Authorized Official
OSSAMA ASCHA
PRESIDENT
Phone: (909) 629-6417
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)		 CA A26396

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.