# UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164730248
- **Legal business name:** UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC
- **Authorized official:** JAMES WATSON MD (OWNER)
- **Authorized official phone:** (310) 829-6876

## Contact information

- **Practice address:** 1301 20TH ST, STE 470, SANTA MONICA, CA 90404-2050
- **Practice address phone:** (310) 829-6876
- **Mailing address:** 2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2010
- **Last updated:** 03/01/2011
