Beverly Aesthetic Surgery Center, INC.
Clinic/Center, Ambulatory Surgical in Beverly Hills, CA. Organization (NPI-2).
NPI number1861685331
StatusActive
Last updated in NPPESAug 23, 2007
Details
- NPI
- 1861685331
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Aesthetic Surgery Center, INC.
- Organization subpart
- No
- Enumeration date
- Aug 19, 2007
- Last updated
- Aug 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | A60220 | CA | Yes |
Practice location
99 N La Cienega BlvdSuite 302
Beverly Hills, CA 90211-2222
Phone 310-659-6759 · Fax 310-360-7970
Mailing address
99 N La Cienega BlvdSuite 302
Beverly Hills, CA 90211-2222
Phone 310-659-6759 · Fax 310-360-7970
Authorized official
Dennis Bang
Ceo/Physician
3106596759
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