Organization · Type 2 NPI

Ophthalmic Facial Plastic Surgery Institute A Medical Corporation

Specialist · Fullerton, CA

NPI number 1639119050 Active

Practice location

301 W Bastanchury Rd, Suite 191
Fullerton, CA 92835-3419

Call (714) 449-1940 Map

Fax (714) 449-1988

Mailing address

9735 Wilshire Blvd., Ste 319
Beverly Hills, CA 90212-2100

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XWG62027I (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 1639119050

Ophthalmic Facial Plastic Surgery Institute A Medical Corporation's National Provider Identifier is 1639119050, issued on Jun 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fullerton, CA. The record was last updated on Feb 1, 2013.