Organization · Type 2 NPI
Heavenly Plastic Surgery, PC
Plastic and Reconstructive Surgery Physician · Lake Forest, CA
NPI number
1639651011
Active
Practice location
29300 Portola Pkwy
Lake Forest, CA 92630-8718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
About NPI 1639651011
Heavenly Plastic Surgery, PC's National Provider Identifier is 1639651011, issued on Sep 3, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Lake Forest, CA. The record was last updated on Sep 3, 2018.