Organization
TERRY DUBROW, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA THERRIEN (ADMINISTRATOR)
(800) 660-6030
Entity
Organization
Contact information
Practice address
1617 WESTCLIFF DR, SUITE 207, NEWPORT BEACH, CA 92660-5524
(800) 660-6030
(310) 564-0316
Mailing address
PO BOX 940358, SIMI VALLEY, CA 93094-0358
(805) 581-5575
(310) 564-0316
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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