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Individual

MARIAELENA GAVILANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
32406 COAST HWY, LAGUNA BEACH, CA 92651-6783
(949) 499-4147
Mailing address
4667 MACARTHUR BLVD STE 220, NEWPORT BEACH, CA 92660-1816
(949) 867-0091

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
PA60874
CA

Other

Enumeration date
03/27/2022
Last updated
01/25/2025
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