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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE PACIFIC AESTHETIC MEDICAL GROUP

Active Organization

BLUE PACIFIC AESTHETIC MEDICAL GROUP is a Plastic Surgery within the Head & Neck organization located in HERMOSA BEACH, California. NPI 1124074059 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · HERMOSA BEACH, CA

Registration Details

NPI Number
1124074059
Provider Type
Organization
NPI Issued
May 25, 2006 (20.238495241377 yrs)
Last Updated
May 4, 2010
License
FNP27928 (CA)

Practice Information

Address
415 PIER AVE
HERMOSA BEACH, CA, 902543820
Browse CA providers · Browse ZIP 90254
Phone
3103796074
Primary Specialty
Plastic Surgery within the Head & Neck
2082S0099X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.