# PACIFIC COAST PLASTIC SURGERY CENTER, INC

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

## Provider details

- **NPI number:** 1124107073
- **Authorized official:** MICHAEL FRANCIS MCGUIRE M.D. (DIRECTOR)
- **Authorized official phone:** (310) 453-2733

## Contact information

- **Practice address:** 1301 20TH ST, SUITE \#450, SANTA MONICA, CA 90404-2050
- **Practice address phone:** (310) 453-2733
- **Practice address fax:** (310) 828-3733
- **Mailing address:** 1301 20TH ST, SUITE \#450, SANTA MONICA, CA 90404-2050
- **Mailing address phone:** (310) 453-2733
- **Mailing address fax:** (310) 828-3733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 07/21/2022