OrganizationActive
Form MD 360
NPI 1700557899 · Otolaryngology/Facial Plastic Surgery Physician · Mission Viejo, CA
Provider details
- NPI number
- 1700557899
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taylor Pollei, Ceo / Owner(949) 998-2020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Facial Plastic Surgery Physician207YS0123X
Allopathic & Osteopathic Physicians
Practice location
26691 Plaza Ste 200
Mission Viejo, CA 92691-8582
Phone: (949) 438-3644
Fax: (949) 998-2020
Approximate (ZIP-level) locationGet directions
Mailing address
26691 Plaza Ste 200
Mission Viejo, CA 92691-8582
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2023-04-26
- Certified
- 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.