Individual
CARLOS J. HERMOSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
453 RADCLIFFE CT, LAGUNA BEACH, CA 92651-3635
(949) 494-2849
Mailing address
453 RADCLIFFE CT, LAGUNA BEACH, CA 92651-3635
(949) 494-2849
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G22820
CA
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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