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

Ophthalmic Facial Plastic Surgery Institute a Medical Corporation

Organization Specialist · NPI 1639119050

Ophthalmic Facial Plastic Surgery Institute a Medical Corporation is a Specialist in Fullerton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

301 W Bastanchury Rd Ste 191
Fullerton, CA 92835-3419
Phone: (714) 449-1940
Fax: (714) 449-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence WG62027I (CA)

Record details

NPI number1639119050
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOphthalmic Facial Plastic Surgery Institute a Medical Corporation
Authorized official Sam Goldberger — President · (714) 449-1940
NPI enumeratedJune 7, 2006
Last updated in NPPESFebruary 1, 2013
Mailing address9735 Wilshire Blvd., Ste 319, Beverly Hills, CA 90212-2100

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