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Organization
BEVERLY HILLS DERMATOLOGY SURGERY CENTER
Active
Organization
BEVERLY HILLS DERMATOLOGY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETANTIA BUSSELL M.D. (MEDICAL DIRECTOR)
(310) 550-7661
Entity
Organization
Contact information
Practice address
433 N CAMDEN DR STE 805, BEVERLY HILLS, CA 90210-4412
(310) 550-7661
(310) 550-1920
Mailing address
433 N CAMDEN DR STE 805, BEVERLY HILLS, CA 90210-4412
(310) 550-7661
(310) 550-1920
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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