Organization
HEAD& NECK MEDICAL & FACIAL PLASTIC SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL A. BATNIJI M.D. (OWNER)
(949) 650-8882
Entity
Organization
Contact information
Practice address
361 HOSPITAL ROAD, SUITE 329, NEWPORT BEACH, CA 92663-3524
(949) 650-8882
(949) 650-2293
Mailing address
361 HOSPITAL RD, SUITE 329, NEWPORT BEACH, CA 92663-3522
(949) 650-8882
(949) 650-2293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A25477
CA
174400000X
Specialist
A89307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A254770
—
CA
05
—
00A254771
—
CA
Enumeration date
04/12/2007
Last updated
10/23/2007
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