Organization
PACIFIC COAST PLASTIC SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRANCIS MCGUIRE M.D. (DIRECTOR)
(310) 453-2733
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE #450, SANTA MONICA, CA 90404-2050
(310) 453-2733
(310) 828-3733
Mailing address
1301 20TH ST, SUITE #450, SANTA MONICA, CA 90404-2050
(310) 453-2733
(310) 828-3733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EU954A
PTAN
CA
Enumeration date
11/03/2006
Last updated
07/21/2022
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