SIMI VALLEY CENTER FOR PLASTIC SURGERY – NPI #1053428409
Plastic Surgery

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

SIMI VALLEY CENTER FOR PLASTIC SURGERY is a plastic surgeon located in SIMI VALLEY, CA. NPPES has assigned the NPI number 1053428409 to SIMI VALLEY CENTER FOR PLASTIC SURGERY on August 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0105X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 14 years ago on Nov 06, 2012. 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 SIMI VALLEY CENTER FOR PLASTIC SURGERY below.

NPI Profile for
SIMI VALLEY CENTER FOR PLASTIC SURGERY

NPI Number
1053428409
Enumeration Date

(about 20 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
SIMI VALLEY CENTER FOR PLASTIC SURGERY
Primary location
2750 SYCAMORE DR STE 200
SIMI VALLEY, CA 93065-1500
Phone: (805) 579-0821 Fax: (805) 579-0879
Mailing address
2435 SPRINGBROOK ST
THOUSAND OAKS, CA 91362-1147
Phone: (805) 579-0821 Fax:
Organization Subpart
No
Authorized Official
MICHAEL FEALY
PRESIDENT
Phone: (805) 579-0821
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
2082S0105X
- Plastic Surgery / Surgery of the Hand (Primary)
208200000X
- Plastic Surgery

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.