Organization
CALIFORNIA EYE AND FACIAL PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN JOHNSEN MD (OWNER)
(801) 699-5945
Entity
Organization
Contact information
Practice address
1812 PORT ABBEY PL, NEWPORT BEACH, CA 92660-5310
(801) 699-5945
Mailing address
1812 PORT ABBEY PL, NEWPORT BEACH, CA 92660-5310
(801) 699-5945
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
01/17/2019
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