JOHN LARSON PLASTIC SURGERY INC NPI 1639948094

NPI Information

  • NPI: 1639948094
  • Provider Name: JOHN LARSON PLASTIC SURGERY, INC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 250 NEWPORT CENTER DR STE 100
    NEWPORT BEACH, CA
    ZIP 92660
  • Phone: (949) 688-7733

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NPI Details

JOHN LARSON PLASTIC SURGERY, INC is a plastic surgery in Newport Beach, CA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. JOHN LARSON PLASTIC SURGERY, INC NPI is 1639948094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 NEWPORT CENTER DR STE 100
NEWPORT BEACH, CA
ZIP 92660-517
Phone: (949) 688-7733

The provider's authorized official is John Larson .
The authorized official title is Ceo and has the following contact phone number (231) 690-9084.

The enumeration date for this NPI number is 12/27/2023 and was last updated on 12/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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