Organization
PEARLLA MEDICAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIA NICHOLSON (OWNER)
(310) 929-9344
Entity
Organization
Contact information
Practice address
9350 WILSHIRE BLVD STE 203, BEVERLY HILLS, CA 90212-3204
(310) 929-9344
Mailing address
825 TAMARACK AVE APT 76, BREA, CA 92821-2532
(310) 929-9344
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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