Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costa Mesa Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1598347510

Costa Mesa Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Costa Mesa, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2900 Bristol St Ste D101
Costa Mesa, CA 92626-5939
Phone: (562) 598-4683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1598347510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Pham — Owner, Partner · (310) 849-4690
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address4582 Katella Ave, Los Alamitos, CA 90720-2655

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