Organization
GALLERY OF COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SADATI (PRESIDENT)
(760) 946-5177
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR, SUITE 100, NEWPORT BEACH, CA 92660-7601
(949) 706-7776
(949) 644-2518
Mailing address
27462 PASEO BOVEDA, SAN JUAN CAPISTRANO, CA 92675-1890
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20A9343
CA
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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