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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOCAL FACIAL PLASTIC SURGERY, INC
NPI 1346192622
Otolaryngology - Facial Plastic Surgery in Ontario, CA

Active since February 10, 2026
3333 CONCOURS BLDG 3, ONTARIO, CA 91764(304) 881-3170 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Socal Facial Plastic Surgery, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOCAL FACIAL PLASTIC SURGERY, INC (NPI 1346192622) is a healthcare organization registered as a facial plastic surgery in Ontario, California and active in the NPI registry since February 2026. The organization lists Adeeb Derakhshan, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1346192622
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameSOCAL FACIAL PLASTIC SURGERY, INC
Location Address3333 CONCOURS BLDG 3Ontario, CA 91764-4875
Mailing Address6800 Indiana Ave Ste 280Riverside, CA 92506-7205
Phone(304) 881-3170
Organization SubpartNo
Authorized OfficialAdeeb DerakhshanSurgeon · (951) 783-9198
Enumeration DateFebruary 10, 2026
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1346192622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
3333 CONCOURS BLDG 3, Ontario, CA 91764
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Socal Facial Plastic Surgery, Inc's NPI number?

The NPI number for Socal Facial Plastic Surgery, Inc is 1346192622. It was assigned to this organization in the NPPES registry on February 10, 2026.

Where is Socal Facial Plastic Surgery, Inc located?

Socal Facial Plastic Surgery, Inc is located at 3333 Concours Bldg 3, Ontario, CA 91764. The listed phone number is (304) 881-3170.

What is Socal Facial Plastic Surgery, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Socal Facial Plastic Surgery, Inc was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.