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

Renaissance Plastic Reconstructive Aesthetic Surgery

Organization Specialist · NPI 1487894473

Renaissance Plastic Reconstructive Aesthetic Surgery is a Specialist in Newport Beach, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

351 Hospital Rd Ste 218
Newport Beach, CA 92663-3509
Phone: (949) 548-9312
Fax: (949) 548-9623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A81552 (CA)

Record details

NPI number1487894473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Lee — Owner · (949) 548-9312
NPI enumeratedMarch 3, 2009
Last updated in NPPESMarch 3, 2009
Mailing address351 Hospital Rd, Suite 218, Newport Beach, CA 92663-3509

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