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

Northridge Facial Plastic Surgery Medical Group a Professional Corp

Organization Ambulatory Surgical Clinic/Center · NPI 1003824434

Northridge Facial Plastic Surgery Medical Group a Professional Corp is an Ambulatory Surgical Clinic/Center in Northridge, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18350 Roscoe Blvd #318A
Northridge, CA 91325-4109
Phone: (818) 993-9824
Fax: (818) 993-0937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence S051366 (CA)

Record details

NPI number1003824434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Kerner — Medical Director · (818) 349-0600
NPI enumeratedAugust 3, 2006
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022
Mailing address18350 Roscoe Blvd # 318a, Northridge, CA 91325-4109

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