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Organization
RECONSTRUCTIVE SURGERY SPECIALISTS OF SOUTHERN CALIFORNIA
Active
Organization
RECONSTRUCTIVE SURGERY SPECIALISTS OF SOUTHERN CALIFORNIA
Active
Other names
reconstructive surgery specialists of southern california
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OMIDI MD (OWNER)
(310) 273-8849
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD, 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8849
(866) 664-7321
Mailing address
9001 WILSHIRE BLVD, 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8849
(866) 664-7321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A84519
CA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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