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ADVANCED EAR NOSE AND THROAT MEDICAL GROUP PC NPI 1407186885


NPI Information

NPI: 1407186885
Provider Name: ADVANCED EAR NOSE AND THROAT MEDICAL GROUP PC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
3500 BARRANCA PKWY
SUITE 110
IRVINE, CA
ZIP 92606
Phone: (949) 552-6444
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ADVANCED EAR NOSE AND THROAT MEDICAL GROUP PC is a plastic and reconstructive surgery surgery in Irvine, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. ADVANCED EAR NOSE AND THROAT MEDICAL GROUP PC NPI is 1407186885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3500 BARRANCA PKWY
SUITE 110
IRVINE, CA
ZIP 92606-226
Phone: (949) 552-6444
Fax: (949) 552-1858

The provider's authorized official is Robert R Beltran .
The authorized official title is Owner and has the following contact phone number (949) 552-6444.

The enumeration date for this NPI number is 1/6/2010 and was last updated on 1/6/2010.


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 SurgeryYes

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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