Individual provider · Type 1 NPI

Jacob Otto Boeckmann, MD

Facial Plastic Surgery Physician · Laguna Niguel, CA

NPI number 1861666703 Active

Practice location

25500 Rancho Niguel Rd Ste 120
Laguna Niguel, CA 92677-7388

Call (949) 273-3112 Map

Fax (833) 719-8711

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123XA123972 (CA)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

About NPI 1861666703

Jacob Otto Boeckmann, MD's National Provider Identifier is 1861666703, issued on Apr 22, 2008. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Laguna Niguel, CA. The record was last updated on Jun 12, 2019.