# AESTHETIC SURGICAL CENTER OF SANTA MONICA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740335744
- **Authorized official:** DR. STEVEN ALAN TEITELBAUM M.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (310) 315-1121

## Contact information

- **Practice address:** 1301 20TH ST STE 350, SANTA MONICA, CA 90404-2052
- **Practice address phone:** (310) 315-1121
- **Practice address fax:** (310) 315-9921
- **Mailing address:** 1301 20TH ST STE 350, SANTA MONICA, CA 90404-2052
- **Mailing address phone:** (310) 315-1121
- **Mailing address fax:** (310) 315-9921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 105461 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 06/12/2017