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Organization
RENAISSANCE PLASTIC RECONSTRUCTIVE AESTHETIC SURGERY
Active
Organization
RENAISSANCE PLASTIC RECONSTRUCTIVE AESTHETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HEE-JIN LEE M.D. (OWNER)
(949) 548-9312
Entity
Organization
Contact information
Practice address
351 HOSPITAL RD, SUITE 218, NEWPORT BEACH, CA 92663-3509
(949) 548-9312
(949) 548-9623
Mailing address
351 HOSPITAL RD, SUITE 218, NEWPORT BEACH, CA 92663-3509
(949) 548-9312
(949) 548-9623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A81552
CA
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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