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Organization
BEVERLY AESTHETIC SURGERY CENTER, INC.
Active
Organization
BEVERLY AESTHETIC SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BANG M.D. (CEO/PHYSICIAN)
(310) 659-6759
Entity
Organization
Contact information
Practice address
99 N LA CIENEGA BLVD, SUITE 302, BEVERLY HILLS, CA 90211-2222
(310) 659-6759
(310) 360-7970
Mailing address
99 N LA CIENEGA BLVD, SUITE 302, BEVERLY HILLS, CA 90211-2222
(310) 659-6759
(310) 360-7970
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A60220
CA
Other
Enumeration date
08/19/2007
Last updated
08/23/2007
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