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Organization
TOTAL BODY AESTHETICS
Active
Organization
TOTAL BODY AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TABIZA OD (CEO)
(310) 670-1888
Entity
Organization
Contact information
Practice address
8610 S SEPULVEDA BLVD STE 100, LOS ANGELES, CA 90045-4009
(310) 670-1888
Mailing address
8610 S SEPULVEDA BLVD STE 100, LOS ANGELES, CA 90045-4009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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