Newport Coast Center For Facial Plastic Surgery
Clinic/Center, Ambulatory Surgical in Newport Beach, CA. Organization (NPI-2).
NPI number1457670010
StatusActive
Last updated in NPPESMay 21, 2010
Details
- NPI
- 1457670010
- Entity type
- Organization (NPI-2)
- Legal business name
- Newport Coast Center For Facial Plastic Surgery
- Organization subpart
- No
- Enumeration date
- May 21, 2010
- Last updated
- May 21, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | c031603 | CA | Yes |
Practice location
1441 Avocado AveSte 204
Newport Beach, CA 92660-7721
Phone 949-644-1661 · Fax 949-644-1663
Mailing address
1441 Avocado AveSte 204
Newport Beach, CA 92660-7721
Phone 949-644-1661 · Fax 949-644-1663
Authorized official
Pierre Francis Giammanco
Owner
9496441661
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