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Organization

ALEPH MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY A BERTRAND MD (OWNER/PROVIDER)
(310) 739-8309
Entity
Organization

Contact information

Practice address
13273 FIJI WAY, #315, MARINA DEL REY, CA 90292-7093
(310) 739-8309
Mailing address
13273 FIJI WAY, STE 315, MARINA DEL REY, CA 90292-7093
(310) 739-8309

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700220647
CA
Enumeration date
06/15/2022
Last updated
06/15/2022
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