PACIFIC COAST CRANIOFACIAL AND PEDIATRIC PLASTIC SURGERY INC. NPI 1831534742

NPI Information

PACIFIC COAST CRANIOFACIAL AND PEDIATRIC PLASTIC SURGERY INC. is a plastic and reconstructive surgery surgery in Costa Mesa, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PACIFIC COAST CRANIOFACIAL AND PEDIATRIC PLASTIC SURGERY INC. NPI is 1831534742. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1640 NEWPORT BOULEVARD
SUITE 450
COSTA MESA, CA
ZIP 92627-737
Phone: (949) 706-3100
Fax: (949) 706-3265

The provider's authorized official is Michael James Sundine .
The authorized official title is Presiden and has the following contact phone number (949) 706-3100.

The enumeration date for this NPI number is 5/6/2013 and was last updated on 5/6/2013.

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:

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