Organization
MOBILE EXECUTIVE HEALTHCARE COSMETIC AND REJUVENATION MEDICAL
Active
Other names
YOUTHNLOOKS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DAVIDSON PHD (ADMINISTRATOR)
(310) 212-1500
Entity
Organization
Contact information
Practice address
1425 W MANCHESTER AVE STE A, LOS ANGELES, CA 90047-5436
(310) 242-7400
Mailing address
1270 S ALFRED ST # 1064, LOS ANGELES, CA 90035-2506
(310) 212-1500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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