Organization
GEHAAN PLASTIC SURGERY INC
Active
Other names
Iconic Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEHAAN DSOUZA MD (CEO)
(714) 595-6589
Entity
Organization
Contact information
Practice address
3144 EL CAMINO REAL, CARLSBAD, CA 92008-2194
(714) 595-6589
Mailing address
455 S LAURELTREE DR, ANAHEIM, CA 92808-1648
(714) 595-6589
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A111406
CA
Other
Enumeration date
02/21/2017
Last updated
03/06/2017
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