Organization
IMAGE PLASTIC SURGERY CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER N NEWEN M.D. (OWNER)
(714) 230-2430
Entity
Organization
Contact information
Practice address
7801 CENTER AVE, 201, HUNTINGTON BEACH, CA 92647-9110
(714) 230-2430
(714) 230-2431
Mailing address
7801 CENTER AVE, 201, HUNTINGTON BEACH, CA 92647-9110
(714) 230-2430
(714) 230-2431
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G79445
CA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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