Organization
NEW IMAGE CREATIONS, INC.
Active
Organization
NEW IMAGE CREATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OPAI-TETTEH M.D. (CEO)
(818) 782-8300
Entity
Organization
Contact information
Practice address
14624 SHERMAN WAY, SUITE 409, VAN NUYS, CA 91405-2241
(818) 782-8300
(818) 782-8301
Mailing address
4335 VAN NUYS BLVD, SUITE 315, SHERMAN OAKS, CA 91403-3727
(818) 782-8300
(818) 782-8301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A53194
CA
Other
Enumeration date
02/03/2009
Last updated
10/28/2009
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