# AESTHETIC AND PLASTIC SURGERY INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477913630
- **Legal business name:** REGENTS OF THE UNIVERSITY OF CALIFORNIA
- **Authorized official:** DR. MANUEL PORTO MD (PRESIDENT & CEO)
- **Authorized official phone:** (714) 456-2986

## Contact information

- **Practice address:** 200 S MANCHESTER AVE, SUITE 650, ORANGE, CA 92868-3217
- **Practice address phone:** (714) 456-3077
- **Practice address fax:** (714) 456-7718
- **Mailing address:** PO BOX 515072, LOS ANGELES, CA 90051-5072
- **Mailing address phone:** (714) 456-6655
- **Mailing address fax:** (714) 456-7718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016