# BLUE PACIFIC AESTHETIC MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124074059
- **Authorized official:** DR. DOUGLAS ROY MEST M.D. (PRESIDENT)
- **Authorized official phone:** (714) 347-1010

## Contact information

- **Practice address:** 415 PIER AVE, HERMOSA BEACH, CA 90254-3820
- **Practice address phone:** (310) 379-6074
- **Mailing address:** 210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
- **Mailing address phone:** (800) 883-7243
- **Mailing address fax:** (714) 647-1245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | FNP27928 | CA | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 05/04/2010