Ophthalmic Facial Plastic Surgery Institute a Medical Corporation
NPI #1639119050 in Fullerton, California
Provider Information
- NPI Number
- 1639119050
- Entity Type
- Organization
- Organization Name
- Ophthalmic Facial Plastic Surgery Institute a Medical Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Feb 1, 2013
Practice Location
- Address
- 301 W BASTANCHURY RD
- Address 2
- SUITE 191
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-3419
- Phone
- (714) 449-1940
Authorized Official
- Name
- DR. SAM GOLDBERGER, M.D.
- Title
- PRESIDENT
- Phone
- (714) 449-1940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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