Forever Young, Inc.

NPI 1134148190 - Dermatology - 207N00000X

NPI Details
NPI 1134148190
Enumeration Date 07/19/2006
Last Updated 02/26/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AFSHIN DAVID AFSHIN
Position OWNER
Phone (323) 653-7700
Fax (323) 653-6409
Practice Location
6333 WILSHIRE BLVD
SUITE 409
LOS ANGELES CA, 90048-5702, US
Phone (323) 653-7700
Fax (323) 653-6409
Business Location
6333 WILSHIRE BLVD
SUITE 409
LOS ANGELES CA, 90048-5702, US
Phone (323) 653-7700
Fax (323) 653-6409
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number A63668
Remove 1134148190 NPI Number
 

According to our database, Forever Young, Inc. NPI is 1134148190, taxonomy code is 207N00000X and license number is A63668, license state is located at California. Forever Young, Inc. physically located at 6333 Wilshire Blvd, Los Angeles CA, 90048-5702. NPI Number 1033115704 has the healthcare provider type.

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1134148190 NPI number is provided on an as is basis without warranty of any kind. 1134148190 is maintained by the National Plan & Provider Enumeration System. The contents of Forever Young, Inc. are for informational purposes only.