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Contact Information

KRISTIN EGAN, MD
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA90266-2727
 Phone: 310-426-8415
 Fax: 310-935-3042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for KRISTIN EGAN · (Female)

NPI Number 1669500302
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2007
Last updated 12/22/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A90465
  • NY License # 2527051
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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