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Organization
AESTHETIC EYE PLASTIC SURGEONS MEDICAL CORPORATION
Active
Organization
AESTHETIC EYE PLASTIC SURGEONS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGEETA LOGANI MD (PRESIDENT)
(818) 477-0560
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 826, ENCINO, CA 91436-4803
(818) 477-0560
(408) 724-6592
Mailing address
16661 VENTURA BLVD STE 826, ENCINO, CA 91436-4803
(818) 477-0560
(408) 724-6592
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104590
—
CA
Enumeration date
08/16/2006
Last updated
06/24/2026
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