Provider Demographics
NPI:1720195886
Name:PLECHAS, MICHAL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAL
Middle Name:J
Last Name:PLECHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 E 17TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-953-7373
Mailing Address - Fax:714-953-1100
Practice Address - Street 1:1913 E 17TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:714-953-7373
Practice Address - Fax:714-953-1100
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA34386208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
B50251Medicare UPIN
A34386Medicare ID - Type Unspecified