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Organization
AESTHETIC SURGICAL CENTER OF SANTA MONICA
Active
Organization
AESTHETIC SURGICAL CENTER OF SANTA MONICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ALAN TEITELBAUM M.D. (CHIEF EXECUTIVE OFFICER)
(310) 315-1121
Entity
Organization
Contact information
Practice address
1301 20TH ST STE 350, SANTA MONICA, CA 90404-2052
(310) 315-1121
(310) 315-9921
Mailing address
1301 20TH ST STE 350, SANTA MONICA, CA 90404-2052
(310) 315-1121
(310) 315-9921
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
105461
CA
Other
Enumeration date
01/23/2007
Last updated
06/12/2017
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