OrganizationActive
Form MD Plastic Surgery
NPI 1164053104 · Otolaryngology/Facial Plastic Surgery Physician · Mission Viejo, CA
Provider details
- NPI number
- 1164053104
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Taylor Pollei, Ceo/Provider
Practice location
26691 Plaza Ste 200
Mission Viejo, CA 92691-8582
Phone: (949) 998-2020
Mailing address
26691 Plaza Ste 200
Mission Viejo, CA 92691-8582
Registry dates
- Enumerated
- 2020-01-29
- Last updated
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.