Individual
DR. JOHN COMPOGINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4501 BIRCH ST, NEWPORT BEACH, CA 92660-1990
(949) 997-0702
Mailing address
4501 BIRCH ST, NEWPORT BEACH, CA 92660-1990
(626) 449-4859
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A105902
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A105902
CA
Other
Enumeration date
08/22/2007
Last updated
03/15/2023
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