Organization Name: | ADVANCED COSMETIC & PLASTIC SURGERY |
NPI Number: | 1437399250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FEREYDOON S MAHJOURI (OWNER/MD) |
Mailing Address: | 500 Osborne Rd Ne Suite 130 Fridley |
State: | MN US |
Postal Code: | 554322765 |
Phone Number: | 7637802770 |
Fax Number: | 7637802812 |
NPI Enumeration Date: | 03/06/2009 |
NPI Last Update Date: | 07/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 23415 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |