Organization
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAITRA A. ROSE (PROVIDER RELATIONS COORDINATOR)
(714) 456-2986
Entity
Organization
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2986
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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