Plastic Surgery Group, a Medical Corporation
Plastic Surgery Group, a Medical Corporation is a Specialist in Corona del Mar, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1101 Bayside Dr Ste 100Corona del Mar, CA 92625-1702
Phone: (949) 718-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence A30397 (CA) |
|---|
Record details
| NPI number | 1689097883 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Devon Niccole — Ceo · (949) 718-6900 |
| NPI enumerated | January 24, 2014 |
| Last updated in NPPES | January 24, 2014 |
| Mailing address | 1101 Bayside Dr, Suite 100, Corona Del Mar, CA 92625-1702 |
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Michael W. Niccole, MD, Inc
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