Organization
NORTH COAST PLASTIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C PARK M.D. (OWNER)
(760) 655-1414
Entity
Organization
Contact information
Practice address
3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056-4500
(760) 655-1414
(760) 655-1415
Mailing address
3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056-4500
(760) 655-1414
(760) 655-1415
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G89460
CA
Other
Enumeration date
02/08/2015
Last updated
02/08/2015
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