Organization
FACECENTERLA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA BROSIUS (BILLING MANAGER)
(805) 210-5491
Entity
Organization
Contact information
Practice address
881 ALMA REAL DR STE 204, PACIFIC PALISADES, CA 90272-5020
(805) 210-5491
Mailing address
881 ALMA REAL DR STE 204, PACIFIC PALISADES, CA 90272-5020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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