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Organization
OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
Active
Organization
OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
Active
Parent organization
OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
Authorized official
DR. SAM GOLDBERGER M.D. (PRESIDENT)
(714) 449-1940
Entity
Organization
Contact information
Practice address
301 W BASTANCHURY RD, SUITE 191, FULLERTON, CA 92835-3419
(714) 449-1940
(714) 449-1988
Mailing address
9735 WILSHIRE BLVD., STE 319, BEVERLY HILLS, CA 90212-2100
(310) 276-0044
(310) 271-7003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WG62027I
CA
Other
Enumeration date
06/07/2006
Last updated
02/01/2013
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