Provider Type Icon

NEWPORT COAST PLASTIC SURGERY A MEDICAL CORPORATION NPI 1528215787


NPI Information

NPI: 1528215787
Provider Name: NEWPORT COAST PLASTIC SURGERY, A MEDICAL CORPORATION
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
400 NEWPORT CENTER DR
SUITE 707
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 644-5000
Get Directions

NEWPORT COAST PLASTIC SURGERY, A MEDICAL CORPORATION is a plastic and reconstructive surgery surgery in Newport Beach, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. NEWPORT COAST PLASTIC SURGERY, A MEDICAL CORPORATION NPI is 1528215787. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 NEWPORT CENTER DR
SUITE 707
NEWPORT BEACH, CA
ZIP 92660-601
Phone: (949) 644-5000
Fax: (949) 644-5562

The provider's authorized official is Hyun Jae Chun .
The authorized official title is Ceo and has the following contact phone number (949) 644-5000.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 1/27/2009.


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 SurgeryGO66882CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G20331MEDICARE UPIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.