Organization
M POLLY MCKINSTRY MD PROFESSIONAL CORPORATION
Active
Parent organization
M POLLY MCKINSTRY MD PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
M POLLY MCKINSTRY MD PROFESSIONAL CORPORATION
Authorized official
LAVINIA CRUMP (OFFICE ADMINISTRATOR)
(949) 645-2250
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA STE 402, LAGUNA HILLS, CA 92653-3685
(949) 595-0095
(949) 595-4459
Mailing address
23961 CALLE DE LA MAGDALENA STE 402, LAGUNA HILLS, CA 92653-3685
(949) 595-0095
(949) 595-4459
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G54934B
CA
Other
Enumeration date
03/14/2012
Last updated
03/30/2022
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