Pacifica Cosmetic Surgery Center, a Medical Corp
NPI #1013458975 in Newport Beach, California
Provider Information
- NPI Number
- 1013458975
- Entity Type
- Organization
- Organization Name
- Pacifica Cosmetic Surgery Center, a Medical Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PACIFICA COSMETIC SURGERY CENTER, A MEDICAL CORP
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 13, 2017
- Last Updated
- Mar 13, 2017
Practice Location
- Address
- 280 NEWPORT CENTER DR
- Address 2
- SUITE 120
- City
- Newport Beach
- State
- California
- ZIP Code
- 92660-7526
- Phone
- (949) 640-9570
Authorized Official
- Name
- DR. DOUGLAS L HENDRICKS, M.D.
- Title
- OWNER-CEO
- Phone
- (949) 640-9570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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