Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J S Vincent Medical Group LLC

Organization Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1164021598

J S Vincent Medical Group LLC is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Los Angeles, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3111 Los Feliz Blvd Ste 103
Los Angeles, CA 90039-1599
Phone: (770) 895-8483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary) Taxonomy 2082S0099X

Record details

NPI number1164021598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Butora — Billing Manager · (562) 787-0225
NPI enumeratedOctober 17, 2020
Last updated in NPPESOctober 18, 2020
Certification dateOctober 18, 2020
Mailing address3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039-1599

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