Organization
KRISTIN K. EGAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN EGAN MD (MD)
(424) 241-3426
Entity
Organization
Contact information
Practice address
2809 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-2727
(310) 796-4509
(310) 796-4513
Mailing address
2809 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-2727
(310) 796-4509
(310) 796-4513
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A90465
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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