Provider Demographics
NPI:1902206154
Name:COSMETIC HAIR REPLACEMENT SURGERY INSTITUTE
Entity Type:Organization
Organization Name:COSMETIC HAIR REPLACEMENT SURGERY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MESHKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-219-0027
Mailing Address - Street 1:2121 SAN JOAQUIN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6507
Mailing Address - Country:US
Mailing Address - Phone:949-219-0027
Mailing Address - Fax:949-219-0854
Practice Address - Street 1:2121 SAN JOAQUIN HILLS RD
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-6507
Practice Address - Country:US
Practice Address - Phone:949-219-0027
Practice Address - Fax:949-219-0854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-480042086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty