Organization
JOHN LARSON PLASTIC SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LARSON MD (CEO)
(231) 690-9084
Entity
Organization
Contact information
Practice address
250 NEWPORT CENTER DR STE 100, NEWPORT BEACH, CA 92660-7517
(949) 688-7733
Mailing address
30262 CROWN VALLEY PKWY STE B, LAGUNA NIGUEL, CA 92677-2364
(949) 688-7733
(949) 688-7733
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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