OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
NPI 1639119050
Specialist in Fullerton, CA

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since June 07, 2006

301 W BASTANCHURY RD, SUITE 191, FULLERTON, CA 92835(714) 449-1940(714) 449-1988 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ophthalmic Facial Plastic Surgery Institute A Medical Corporation NPPES

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

OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION (NPI 1639119050) is a healthcare organization registered as a specialist in Fullerton, California and active in the NPI registry since June 2006. The organization lists Sam Goldberger, President, as its authorized official.

NPPES Registry Identity

NPI1639119050

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameOPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION

Location Address301 W BASTANCHURY RD, SUITE 191Fullerton, CA 92835-3419

Mailing Address9735 Wilshire Blvd., Ste 319Beverly Hills, CA 90212-2100 · (310) 276-0044 · Fax (310) 271-7003

Phone(714) 449-1940

Fax(714) 449-1988

Organization SubpartYes

Authorized OfficialSam GoldbergerPresident · (714) 449-1940

Enumeration DateJune 7, 2006

Last NPPES UpdateFebruary 1, 2013

✔ NPI 1639119050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · WG62027I

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

301 W BASTANCHURY RD, Fullerton, CA 92835

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Other Identifiers 2

Medicare ID-Type UnspecifiedW18547CA · Group Id

Medicare ID-Type UnspecifiedWG62027ICA · Provider Id

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