Blue Pacific Aesthetic Medical Group

Organization Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1124074059

Blue Pacific Aesthetic Medical Group is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Hermosa Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in: CA
In the registry since: 2006

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Practice location Address checks out

415 Pier Ave
Hermosa Beach, CA 90254-3820
Phone: (310) 379-6074

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Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary)	Taxonomy 2082S0099X · Licence FNP27928 (CA)

Record details

NPI number	1124074059
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Douglas Mest — President · (714) 347-1010
NPI enumerated	May 25, 2006
Last updated in NPPES	May 4, 2010
Mailing address	210 N Tustin Ave, Santa Ana, CA 92705-3807