Organization
DAINES PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M DAINES MD (OWNER)
(949) 719-1800
Entity
Organization
Contact information
Practice address
180 NEWPORT CENTER DR, 158, NEWPORT BEACH, CA 92660-7652
(949) 719-1800
(949) 719-1810
Mailing address
PO BOX 15847, NEWPORT BEACH, CA 92659-5847
(949) 574-4638
(949) 574-4680
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A120244
CA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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