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Heavenly Plastic Surgery, Pc
Plastic and Reconstructive Surgery Physician in Lake Forest, California
NPI 1639651011

Heavenly Plastic Surgery, Pc is a Plastic and Reconstructive Surgery Physician based in Lake Forest, CA and is specialized in Plastic and Reconstructive Surgery. Heavenly Plastic Surgery, Pc practices in Lake Forest, CA. The NPI Number for Heavenly Plastic Surgery, Pc is 1639651011 and holds a License No. (California).

The current practice location address for Heavenly Plastic Surgery, Pc is 29300 Portola Pkwy, Lake Forest, CA and can be reached out via phone at 657-333-5497.

Location: 29300 Portola Pkwy, Lake Forest, CA, 92630-8718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639651011
Provider Name
Heavenly Plastic Surgery, Pc
Credential
Provider Entity Type
Organization
Address
29300 Portola Pkwy, Lake Forest, CA, 92630-8718
Phone Number
657-333-5497
Fax Number
Provider Enumeration Date
09/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29300 Portola Pkwy
City
Lake Forest
State
California
Zip
92630-8718
Phone Number
657-333-5497
Fax Number
person
Provider Business Mailing Address Details
Address
29300 Portola Pkwy
City
Lake Forest
State
California
Zip
92630-8718
Phone Number
657-333-5497
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
()
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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