# BEVERLY AESTHETIC SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1861685331
- **Authorized official:** DENNIS BANG M.D. (CEO/PHYSICIAN)
- **Authorized official phone:** (310) 659-6759

## Contact information

- **Practice address:** 99 N LA CIENEGA BLVD, SUITE 302, BEVERLY HILLS, CA 90211-2222
- **Practice address phone:** (310) 659-6759
- **Practice address fax:** (310) 360-7970
- **Mailing address:** 99 N LA CIENEGA BLVD, SUITE 302, BEVERLY HILLS, CA 90211-2222
- **Mailing address phone:** (310) 659-6759
- **Mailing address fax:** (310) 360-7970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | A60220 | CA | Yes |

## Other

- **Enumeration date:** 08/19/2007
- **Last updated:** 08/23/2007