Organization · Type 2 NPI
Pacific Coast Craniofacial and Pediatric Plastic Surgery Inc.
Plastic and Reconstructive Surgery Physician · Costa Mesa, CA
NPI number
1831534742
Active
Practice location
1640 Newport Boulevard, Suite 450
Costa Mesa, CA 92627-7737
Fax (949) 706-3265
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.
About NPI 1831534742
Pacific Coast Craniofacial and Pediatric Plastic Surgery Inc.'s National Provider Identifier is 1831534742, issued on May 6, 2013. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Costa Mesa, CA. The record was last updated on May 6, 2013.