Organization
SOCAL ONCOPLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK LANIER MD (OWNER)
(949) 229-7971
Entity
Organization
Contact information
Practice address
601 DOVER DR STE 2, NEWPORT BEACH, CA 92663-5700
(949) 229-7971
(949) 539-0897
Mailing address
2661 VISTA ORNADA, NEWPORT BEACH, CA 92660-3555
(949) 229-7971
(949) 539-0897
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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