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

Sandia Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1407171408

Sandia Plastic Surgery, PC is a Plastic Surgery Physician in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2010.

Licensed in
NM
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 Encino Pl NE Ste D7
Albuquerque, NM 87102
Phone: (505) 842-0066
Fax: (505) 842-9325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD2007-0451 (NM)

Record details

NPI number1407171408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Chan — Owner/Sole Member · (505) 842-0066
NPI enumeratedApril 1, 2010
Last updated in NPPESApril 15, 2015
Mailing address801 Encino Place Ne, Suite D7, Albuquerque, NM 87102

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