Blue Pacific Aesthetic Medical Group

Organization Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1124074059

Blue Pacific Aesthetic Medical Group provides Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician services in Hermosa Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in: CA
In the registry since: 2006

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Practice location Address checks out

415 Pier Ave
Hermosa Beach, CA 90254-3820 Not confirmed with CMS for 16 years — call before visiting
Phone: (310) 379-6074

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary)	Taxonomy 2082S0099X · Licence FNP27928 (CA)

Record details

NPI number	1124074059
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Douglas Mest — President · (714) 347-1010
NPI enumerated	May 25, 2006
Last updated in NPPES	May 4, 2010
Mailing address	210 N Tustin Ave, Santa Ana, CA 92705-3807