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Organization
MED SPA SURGERY INC
Active
Organization
MED SPA SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDI H ELBASSIR M.D (CEO)
(323) 662-0692
Entity
Organization
Contact information
Practice address
3161 GLENDALE BLVD, LOS ANGELES, CA 90039-1805
(323) 662-0692
(323) 662-0368
Mailing address
3161 GLENDALE BLVD, LOS ANGELES, CA 90039-1805
(323) 662-0692
(323) 662-0368
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A86654
CA
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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