Socal Oncoplastic Surgery PC
Plastic Surgery in Newport Beach, CA. Organization (NPI-2).
NPI number1013733641
StatusActive
Last updated in NPPESNov 27, 2024
Details
- NPI
- 1013733641
- Entity type
- Organization (NPI-2)
- Legal business name
- Socal Oncoplastic Surgery PC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2024
- Certification date
- Nov 27, 2024
- Last updated
- Nov 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
Practice location
601 Dover Dr Ste 2Newport Beach, CA 92663-5700
Phone 949-229-7971 · Fax 949-539-0897
Mailing address
2661 Vista OrnadaNewport Beach, CA 92660-3555
Phone 949-229-7971 · Fax 949-539-0897
Authorized official
Brock Lanier
Owner
9492297971
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