# SHONAN BEAUTY CLINIC BEVERLY HILLS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shonan Beauty Clinic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669977021
- **Authorized official:** JAMES PAUL WATSON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 723-8008

## Contact information

- **Practice address:** 425 HAALAND DRIVE, SUITE 100, THOUSAND OAKS, CA 91361-5229
- **Practice address phone:** (805) 723-8008
- **Practice address fax:** (805) 852-2675
- **Mailing address:** 425 HAALAND DRIVE, SUITE 102, THOUSAND OAKS, CA 91361-5229
- **Mailing address phone:** (805) 723-8008
- **Mailing address fax:** (805) 852-2675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2018
- **Last updated:** 03/28/2018