Organization · NPI-2

Bedford Breast Surgeons

Clinic/Center, Multi-Specialty · Beverly Hills, CA

NPI number1306447941
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1306447941
Entity type
Organization (NPI-2)
Legal business name
Bedford Breast Surgeons
Organization subpart
No
Enumeration date
Nov 2, 2020
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
261Q00000X Clinic/Center––

Practice location

436 North Bedford Drive
Suite 105
Beverly Hills, CA 90210-4323

Phone 310-278-8590 · Fax 424-202-3759

Mailing address

436 North Bedford Drive
Suite 105
Beverly Hills, CA 90210-4323

Phone 310-278-8590 · Fax 424-202-3759

Authorized official

Lisa Cassileth
President
3102788580

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