Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
AESTHETIC & PLASTIC SURGERY INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY EVANS MD (DEPARTMENT CHAIR)
(714) 456-6655
Entity
Organization
Contact information
Practice address
200 S MANCHESTER AVE, STE 650, ORANGE, CA 92868-3224
(714) 456-6655
(714) 456-2280
Mailing address
PO BOX 515072, LOS ANGELES, CA 90051-5072
(714) 456-6655
(714) 456-2280
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G57437
CA
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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