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Organization
COSMETIC SURGERY CENTER OF SANTA MONICA A MEDICAL CORP
Active
Organization
COSMETIC SURGERY CENTER OF SANTA MONICA A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH A MASSEY MD (MEDICAL DIRECTOR)
(310) 434-2495
Entity
Organization
Contact information
Practice address
1260 15TH ST, SUITE 1401, SANTA MONICA, CA 90404
(310) 434-2495
(310) 434-2497
Mailing address
1260 15TH ST, SUITE 1401, SANTA MONICA, CA 90404
(310) 434-2495
(310) 434-2497
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S051566
CA
Other
Enumeration date
08/30/2006
Last updated
08/05/2015
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