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

Reconstructive Services Medical Group, Inc

Organization Otolaryngology Physician · NPI 1992851893

Reconstructive Services Medical Group, Inc is an Otolaryngology Physician in Orange, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 E Chapman Ave
Orange, CA 92866-1506
Phone: (714) 633-9761
Fax: (714) 633-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence G25063 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence G25063 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence G25063 (CA)

Record details

NPI number1992851893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Allison — President · (714) 633-9761
NPI enumeratedJanuary 25, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address212 E Chapman Ave, Orange, CA 92866-1506

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