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General NPI Number Information
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NPI Number | 1528822210
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY RECONSTRUCTIVE AND AESTHETIC SURGERY
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1617 WESTCLIFF DR STE 207
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5526
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Country | US
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Telephone | 949-400-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 WESTCLIFF DR STE 207
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5526
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Country | US
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Telephone | 949-720-3888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHANG T NGUYEN
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Credential | MD
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Telephone | 714-321-0779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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