# RICHARD A. GANGNES M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Facial Aesthetic concepts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568495562
- **Authorized official:** MR. CHRIS GANGNES (GENERAL MANAGER)
- **Authorized official phone:** (949) 276-4141

## Contact information

- **Practice address:** 665 CAMINO DE LOS MARES STE 100, SAN CLEMENTE, CA 92673-2840
- **Practice address phone:** (949) 276-4141
- **Practice address fax:** (949) 496-2705
- **Mailing address:** 665 CAMINO DE LOS MARES STE 100, SAN CLEMENTE, CA 92673-2840
- **Mailing address phone:** (949) 276-4141
- **Mailing address fax:** (949) 496-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | G30030 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 05/05/2010