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SCULTURA PLASTIC SURGERY NPI 1134491749


NPI Information

NPI: 1134491749
Provider Name: SCULTURA PLASTIC SURGERY
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1401 AVOCADO AVE
SUITE 501
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 706-8273
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SCULTURA PLASTIC SURGERY is a plastic and reconstructive surgery surgery in Newport Beach, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. SCULTURA PLASTIC SURGERY NPI is 1134491749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 AVOCADO AVE
SUITE 501
NEWPORT BEACH, CA
ZIP 92660-720
Phone: (949) 706-8273
Fax: (949) 706-8274

The provider's authorized official is Jon Bradley Strawn .
The authorized official title is Ceo and has the following contact phone number (949) 706-8273.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 1/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryA97411CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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