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Organization
SKIN CANCER&RECONSTRUCTIVE SURGERY SPECIALISTS OF WEST HILLS
Active
Organization
SKIN CANCER&RECONSTRUCTIVE SURGERY SPECIALISTS OF WEST HILLS
Active
Other names
skin cancer&reconstructive surgery specialists of west hills
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M OMIDI M.D (MEDICAL DIRECTOR)
(310) 273-8885
Entity
Organization
Contact information
Practice address
7320 WOODLAKE AVE, SUITE 320, WEST HILLS, CA 91307-1468
(818) 883-3162
(818) 883-2900
Mailing address
9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8885
(310) 273-8662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A84519
CA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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