Organization · Type 2 NPI

Advanced Ear Nose and Throat Medical Group PC

Plastic and Reconstructive Surgery Physician · Irvine, CA

NPI number 1407186885 Active

Practice location

3500 Barranca Pkwy, Suite 110
Irvine, CA 92606-8226

Fax (949) 552-1858

Mailing address

PO Box 14994
Irvine, CA 92623-4994

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1407186885

Advanced Ear Nose and Throat Medical Group PC's National Provider Identifier is 1407186885, issued on Jan 6, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Irvine, CA. The record was last updated on Jan 6, 2010.