Healthcare Provider Details

I. General information

NPI: 1477349850
Provider Name (Legal Business Name): ADVANCED PLASTIC AND RECONSTRUCTIVE SURGERY CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28078 BAXTER RD STE 420
MURRIETA CA
92563-1404
US

IV. Provider business mailing address

28078 BAXTER RD STE 420
MURRIETA CA
92563-1404
US

V. Phone/Fax

Practice location:
  • Phone: 951-709-1818
  • Fax: 951-710-2700
Mailing address:
  • Phone: 951-709-1818
  • Fax: 951-710-2700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DARREN LEONG
Title or Position: PARTNER
Credential: MD
Phone: 951-709-1818