Organization
SCULTURA PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON BRADLEY STRAWN MD, MBA (CEO)
(949) 706-8273
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE, SUITE 501, NEWPORT BEACH, CA 92660-7720
(949) 706-8273
(949) 706-8274
Mailing address
1401 AVOCADO AVE, SUITE 501, NEWPORT BEACH, CA 92660-7720
(949) 706-8273
(949) 706-8274
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A97411
CA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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