EKO PLASTIC SURGERY INC
NPI 1346610052
Plastic Surgery in Palm Desert, CA
- Organization
- Plastic Surgery
- CLIA Number: 05D2222742
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-29-2027
About EKO PLASTIC SURGERY INC
This page provides the complete NPI Profile along with additional information for Eko Plastic Surgery Inc, a provider established in Palm Desert, California operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1346610052 assigned on October 2015. The practitioner's primary taxonomy code is 208200000X with license number A120873 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eko Plastic Surgery Inc. The authorized official of this NPI record is Frederick N Eko Md (President/ceo)
- NPI
- 1346610052 Verify this NPI
- Provider Legal Name
- FREDERICK EKO MD INC
- Other Organization Name
- EKO PLASTIC SURGERY INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 44651 VILLAGE CT STE 104 PALM DESERT, CA 92260
- Location Phone
- (760) 249-2222
- Location Fax
- (760) 237-2223
- Mailing Address
- PO BOX 2867 PALM DESERT, CA 92261
- Mailing Phone
- (760) 249-2222
- Mailing Fax
- (760) 237-2223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2015
- Last Update Date
- 01-12-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A120873
- License State
- CA
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2222742
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 30, 2025
- Certificate Expiration Date
- April 29, 2027
- Laboratory Director
- FREDERICK N. EKO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eko Plastic Surgery Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PALM DESERT, CA 92260
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346610052, enumerated as an "organization" on October 07, 2015.
The provider is located at 44651 VILLAGE CT STE 104 PALM DESERT, CA 92260 and the phone number is (760) 249-2222.
Plastic Surgery with taxonomy code 208200000X.
