Organization · Type 2 NPI

Renaissance Plastic Reconstructive Aesthetic Surgery

Specialist · Newport Beach, CA

NPI number 1487894473 Active

Practice location

351 Hospital Rd, Suite 218
Newport Beach, CA 92663-3509

Call (949) 548-9312 Map

Fax (949) 548-9623

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA81552 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487894473

Renaissance Plastic Reconstructive Aesthetic Surgery's National Provider Identifier is 1487894473, issued on Mar 3, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 3, 2009.