Organization
PACIFIC COAST CRANIOFACIAL AND PEDIATRIC PLASTIC SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES SUNDINE M.D. (PRESIDEN)
(949) 706-3100
Entity
Organization
Contact information
Practice address
1640 NEWPORT BOULEVARD, SUITE 450, COSTA MESA, CA 92627-7737
(949) 706-3100
(949) 706-3265
Mailing address
1640 NEWPORT BOULEVARD, SUITE 450, COSTA MESA, CA 92627-7737
(949) 706-3100
(949) 706-3265
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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