Organization · Type 2 NPI
Blue Pacific Aesthetic Medical Group
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Hermosa Beach, CA
Practice location
415 Pier Ave
Hermosa Beach, CA 90254-3820
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary | 2082S0099X | FNP27928 (CA) |
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery i…
2 other providers at this address
About NPI 1124074059
Blue Pacific Aesthetic Medical Group's National Provider Identifier is 1124074059, issued on May 25, 2006. The primary taxonomy on file is Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X), and the practice location is in Hermosa Beach, CA. The record was last updated on May 4, 2010.