Organization
FORM MD PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR R POLLEI MD (CEO/PROVIDER)
(949) 998-2020
Entity
Organization
Contact information
Practice address
26691 PLAZA STE 200, MISSION VIEJO, CA 92691-8582
(949) 998-2020
Mailing address
26691 PLAZA STE 200, MISSION VIEJO, CA 92691-8582
(949) 998-2020
(949) 998-2021
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/29/2020
Last updated
04/26/2023
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