OG MEDICAL INC NPI 1386392264

NPI Information

  • NPI: 1386392264
  • Provider Name: OG MEDICAL INC
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 345 FRANCONIA ST
    SAN FRANCISCO, CA
    ZIP 94110
  • Phone: (804) 513-6252

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NPI Details

OG MEDICAL INC is a facial plastic surgery otolaryngology in San Francisco, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. OG MEDICAL INC NPI is 1386392264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

345 FRANCONIA ST
SAN FRANCISCO, CA
ZIP 94110-314
Phone: (804) 513-6252

The provider's authorized official is Tim Ortlip .
The authorized official title is Cfo and has the following contact phone number (804) 513-6252.

The enumeration date for this NPI number is 3/10/2022 and was last updated on 3/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckNo
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryNo
4207YS0123XOtolaryngologyFacial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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