Organization
NEWPORT PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVIZ HIROSHI GOSHTASBY M.D. (SURGEON/OWNER)
(949) 500-5440
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD STE 527, NEWPORT BEACH, CA 92663-3526
(949) 500-5440
(949) 548-9664
Mailing address
361 HOSPITAL RD STE 527, NEWPORT BEACH, CA 92663-3526
(949) 500-5440
(949) 548-9664
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A110114
CA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
A110114
CA
Other
Enumeration date
08/27/2010
Last updated
03/07/2011
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