# COSMETIC SURGERY CENTER OF SANTA MONICA A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033229323
- **Authorized official:** RALPH A MASSEY MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 434-2495

## Contact information

- **Practice address:** 1260 15TH ST, SUITE 1401, SANTA MONICA, CA 90404
- **Practice address phone:** (310) 434-2495
- **Practice address fax:** (310) 434-2497
- **Mailing address:** 1260 15TH ST, SUITE 1401, SANTA MONICA, CA 90404
- **Mailing address phone:** (310) 434-2495
- **Mailing address fax:** (310) 434-2497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S051566 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/05/2015