PLASTIC SURGERY SO CAL MEDICAL GROUP, INC. – NPI #1609178961
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

PLASTIC SURGERY SO CAL MEDICAL GROUP, INC. is a surgeon located in CLAREMONT, CA. NPPES has assigned the NPI number 1609178961 to PLASTIC SURGERY SO CAL MEDICAL GROUP, INC. on November 18, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is DEVDAS WALI, MD. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 8 years ago on Nov 20, 2018. 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 PLASTIC SURGERY SO CAL MEDICAL GROUP, INC. below.

NPI Profile for
PLASTIC SURGERY SO CAL MEDICAL GROUP, INC.

NPI Number
1609178961
Enumeration Date

(more than 15 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
PLASTIC SURGERY SO CAL MEDICAL GROUP, INC.
Former Legal Business Name: DEVDAS WALI, MD
Primary location
250 W 1ST ST STE 116
CLAREMONT, CA 91711
Phone: (909) 624-4440 Fax: (909) 624-4448
1 Other location(s):
350 Vinton Ave
SUITE 102
Pomona, CA 91767-3000
Phone: (909) 865-0400
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEVDAS WALI
CEO
Phone: (323) 481-8430
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 CA A78108

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.