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Organization
BLUE PACIFIC AESTHETIC MEDICAL GROUP
Active
Organization
BLUE PACIFIC AESTHETIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ROY MEST M.D. (PRESIDENT)
(714) 347-1010
Entity
Organization
Contact information
Practice address
415 PIER AVE, HERMOSA BEACH, CA 90254-3820
(310) 379-6074
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
FNP27928
CA
Other
Enumeration date
05/25/2006
Last updated
05/04/2010
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