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Organization
NEWPORT BEACH LASER AND PLASTIC SURGERY CENTRE
Active
Organization
NEWPORT BEACH LASER AND PLASTIC SURGERY CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS ACKERMAN M.D. (OWNER)
(949) 759-3284
Entity
Organization
Contact information
Practice address
360 SAN MIGUEL DR STE 607, NEWPORT BEACH, CA 92660-7832
(949) 759-3284
Mailing address
360 SAN MIGUEL DR STE 607, NEWPORT BEACH, CA 92660-7832
(949) 759-3284
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G47825
CA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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