# NEWPORT BEACH LASER AND PLASTIC SURGERY CENTRE

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

## Provider details

- **NPI number:** 1972707123
- **Authorized official:** DR. BORIS ACKERMAN M.D. (OWNER)
- **Authorized official phone:** (949) 759-3284

## Contact information

- **Practice address:** 360 SAN MIGUEL DR STE 607, NEWPORT BEACH, CA 92660-7832
- **Practice address phone:** (949) 759-3284
- **Mailing address:** 360 SAN MIGUEL DR STE 607, NEWPORT BEACH, CA 92660-7832
- **Mailing address phone:** (949) 759-3284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | G47825 | CA | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 08/22/2020