OrganizationActive
J S Vincent Medical Group LLC
NPI 1164021598 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Los Angeles, CA
Provider details
- NPI number
- 1164021598
- Entity type
- Organization
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- John Butora, Billing Manager
Practice location
3111 Los Feliz Blvd Ste 103
Los Angeles, CA 90039-1599
Phone: (770) 895-8483
Mailing address
3111 Los Feliz Blvd Ste 103
Los Angeles, CA 90039-1599
Registry dates
- Enumerated
- 2020-10-17
- Last updated
- 2020-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.