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Organization
LASKY DRIVE SURGERY CENTER
Active
Organization
LASKY DRIVE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAD RADY RAHBAN MD (MEDICAL DIRECTOR)
(310) 550-9858
Entity
Organization
Contact information
Practice address
152 S LASKY DR STE 102, BEVERLY HILLS, CA 90212-1715
(310) 550-9858
Mailing address
152 S LASKY DR STE 102, BEVERLY HILLS, CA 90212-1715
(310) 550-9858
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/21/2023
Last updated
03/18/2024
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