Newport Coast Plastic Surgery, a Medical Corporation

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

GO66882 Issued in CA

Legal business name

NEWPORT COAST PLASTIC SURGERY, A MEDICAL CORPORATION

Practice address

400 Newport Center Dr
Suite 707
Newport Beach, CA 92660-7601

Phone

(949) 644-5000

Fax

(949) 644-5562

NPI assigned

Aug 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hyun Jae Chun, M.D.

Title

Ceo

Phone

(949) 644-5000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1528215787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 707",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-644-5000",
            "fax_number": "949-644-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 707",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-644-5000",
            "fax_number": "949-644-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT COAST PLASTIC SURGERY, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-644-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "GO66882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newport Chiropractic Center
• Newport Coast Center for Facial Plastic Surgery
• Newport Coast Dermatology
• Newport Coast Outpatient Surgery Center
• Newport Coast Pathology, Inc.
• Newport Coast Radiation Oncology Medical Group, Inc
• Newport Coast Recovery
• Newport Coast Surgery Center, LP
• Newport Coast Surgical and Pain Center, LLC
• Newport Coast Surgical Center, LLC

• Plastic and Reconstructive Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.