Sundine Center for Facial Aesthetics and Plastic Surgery Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G66233 Issued in CA

Legal business name

SUNDINE CENTER FOR FACIAL AESTHETICS AND PLASTIC SURGERY INC

Practice address

1640 Newport Blvd
Suite 450
Costa Mesa, CA 92627-3786

Phone

(949) 706-3100

Fax

(949) 706-3265

NPI assigned

May 9, 2014

Last updated

May 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Sundine, M.D.

Title

President

Phone

(949) 706-3100

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1710398953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54370",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926194370",
            "telephone_number": "949-706-3100",
            "fax_number": "949-706-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD",
            "address_2": "SUITE 450",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "949-706-3100",
            "fax_number": "949-706-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDINE CENTER FOR FACIAL AESTHETICS AND PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "SUNDINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-706-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G66233",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "G66233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olivia Christine Sung
• Nicholas Sunley
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• Sunterra Health, Inc. (Project FoodBox)

• Plastic Surgery Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.