Pacifica Cosmetic Surgery Center, A Medical Corp
LBN: Pacifica Cosmetic Surgery Center, A Medical Corp
Pacifica Cosmetic Surgery Center, A Medical Corp is an health care organization with primary practice located at 280 Newport Center Dr Suite 120, Newport Beach CA 92660-7526. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty.
Pacifica Cosmetic Surgery Center, A Medical Corp can be contacted via phone (949) 640-9570, or through Hendricks, Douglas L via phone (949) 640-9570.
Contact Information
Primary practice address
280 Newport Center Dr Suite 120
Newport Beach CA 92660-7526
Phone: (949) 640-9570
Fax: (949) 640-9569
Website:
Authorized official contact:
Name: Hendricks, Douglas L Doctor of Medicine (MD)
Phone: (949) 640-9570
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | 28839 | California |
Profile Details
| NPI number | 1013458975 |
|---|---|
| LBN Legal business name | Pacifica Cosmetic Surgery Center, A Medical Corp |
| DBA Doing business as | |
| Authorized official | Hendricks, Douglas L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Mar 13th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013458975 | NPPES |
| California | Other | 1922165703 | NPI OF PROVIDER |
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