Organization
AETHETIC ARTS INSTITUTE OF PLASTIC SURGERY,LLC
Active
Parent organization
AETHETIC ARTS INSTITUTE OF PLASTICV SURGERY,LLC
Other names
La Mesa Surgical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
AETHETIC ARTS INSTITUTE OF PLASTICV SURGERY,LLC
Authorized official
DR. SUSAN KAWESKI M.D. (MEDICAL DIRECTOR)
(619) 464-9876
Entity
Organization
Contact information
Practice address
8401 GRANT AVE, LA MESA, CA 91941-5303
(619) 464-9876
(619) 464-9877
Mailing address
8401 GRANT AVE., LA MESA, CA 91941
(619) 464-9876
(619) 464-9877
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
05C0001125
CA
Other
Enumeration date
09/08/2011
Last updated
02/20/2012
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