Individual
DR. GARRETT ANDREW WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 AVOCADO AVE STE 810, NEWPORT BEACH, CA 92660-8708
(949) 706-9988
(949) 679-9967
Mailing address
1401 AVOCADO AVE STE 810, NEWPORT BEACH, CA 92660-8708
(949) 706-9988
(949) 679-9967
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A81620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA81620A
PPIN
CA
Enumeration date
08/31/2006
Last updated
09/04/2024
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