Heavenly Plastic Surgery, PC
NPI #1639651011 in Lake Forest, California
Provider Information
- NPI Number
- 1639651011
- Entity Type
- Organization
- Organization Name
- Heavenly Plastic Surgery, PC
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Sep 3, 2018
- Last Updated
- Sep 3, 2018
Practice Location
- Address
- 29300 PORTOLA PKWY
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-8718
- Phone
- (657) 333-5497
Authorized Official
- Name
- DAVID NGUYEN, MD
- Title
- CEO
- Phone
- (310) 980-3715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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