Organization
NU VELA ESTHETICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFFI DISHAKJIAN M.D. (PRESIDENT/OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
11200 CORBIN AVE, STE.# 104, PORTER RANCH, CA 91326-4120
(818) 832-4500
(818) 832-4522
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A47717
CA
208200000X
Plastic Surgery Physician
Primary
A47717
CA
Other
Enumeration date
07/27/2006
Last updated
06/01/2015
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