| NPI | 1548778541 |
|---|---|
| Doing Business As | THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | YOUNG JUN Vice President 818-282-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| 208200000X Plastic Surgery | |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |