Wilshire Center For Cosmetic Surgery, A Professional Corporation

NPI 1528499415 - Clinic/Center - 261QA1903X

NPI Details
NPI 1528499415
Enumeration Date 12/03/2013
Last Updated 12/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WILLIAM WILLIAM
Position PRESIDENT
Phone (323) 936-1245
Fax (323) 904-4041
Practice Location
5757 WILSHIRE BLVD
PROMENADE 2
LOS ANGELES CA, 90036-5810, US
Phone (323) 936-1245
Fax (323) 904-4041
Business Location
5757 WILSHIRE BLVD
PROMENADE 2
LOS ANGELES CA, 90036-5810, US
Phone (323) 936-1245
Fax (323) 904-4041
Toxanomy
Taxonomy Code 261QA1903X
License State California
License Number G57255
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According to our database, Wilshire Center For Cosmetic Surgery, A Professional Corporation NPI is 1528499415, taxonomy code is 261QA1903X and license number is G57255, license state is located at California. Wilshire Center For Cosmetic Surgery, A Professional Corporation physically located at 5757 Wilshire Blvd, Los Angeles CA, 90036-5810. NPI Number 1033115704 has the healthcare provider type.

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1528499415 NPI number is provided on an as is basis without warranty of any kind. 1528499415 is maintained by the National Plan & Provider Enumeration System. The contents of Wilshire Center For Cosmetic Surgery, A Professional Corporation are for informational purposes only.