Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A110385 | CA |
N | 207YS0123X | Facial Plastic Surgeon | A110385 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A110385 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A110385 | CA |
NPI | 1447453048 |
---|---|
Provider Name | Dr. Alexis Dorian Furze |
First Address | Newport Beach, CA 92659-0275 |
Second Address | Newport Beach, CA 92663-3637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2007 |
Last Update Date | 26/08/2016 |