Form MD 360
Form MD 360 is a Facial Plastic Surgery Physician in Mission Viejo, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
26691 Plz Ste 200Mission Viejo, CA 92691-8582
Phone: (949) 438-3644
Fax: (949) 998-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X |
|---|---|
| Facial Plastic Surgery Physician | Taxonomy 207YS0123X |
| Plastic and Reconstructive Surgery Physician | Taxonomy 2086S0122X |
Record details
| NPI number | 1700557899 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Taylor Pollei — Ceo / Owner · (949) 998-2020 |
| NPI enumerated | September 28, 2021 |
| Last updated in NPPES | April 26, 2023 |
| Certification date | April 26, 2023 |
| Mailing address | 26691 Plaza Ste 200, Mission Viejo, CA 92691-8582 |
Other providers in Mission Viejo
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Dr. Taylor R Pollei, MD
26691 Plz Ste 200, Mission Viejo, CA 92691-8582 · (949) 998-2020