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Organization
LOS ANGELES ENT FACIAL PLASTICS CENTER, INC
Active
Organization
LOS ANGELES ENT FACIAL PLASTICS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERIF AMMAR MD (PRESIDENT)
(201) 725-0138
Entity
Organization
Contact information
Practice address
520 N PROSPECT AVE, SUITE 302, REDONDO BEACH, CA 90277-3041
(310) 798-1515
Mailing address
12409 LINCOLNSHIRE DR, BAKERSFIELD, CA 93311-9584
(201) 725-0138
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C52571
CA
Other
Enumeration date
09/03/2013
Last updated
08/20/2014
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