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Organization
BEVERLY HILLS OF WESTLAKE PLASTIC SURGERY, INC.
Active
Organization
BEVERLY HILLS OF WESTLAKE PLASTIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M HODNETT M.D. (PRESIDENT)
(818) 284-3027
Entity
Organization
Contact information
Practice address
115 JENSEN CT # 200, THOUSAND OAKS, CA 91360-7406
(805) 777-8956
Mailing address
115 JENSEN CT, THOUSAND OAKS, CA 91360-7406
(805) 777-8956
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
C51707
CA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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