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Organization

PLASTIC REJUVENATION MEDICAL PROFESSIONAL CORPORATION

Active
Other names
Plastic Rejuvenation Medical
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS ALWEN (PRACTICE MANAGER)
(818) 518-5980
Entity
Organization

Contact information

Practice address
25408 CRENSHAW BLVD, TORRANCE, CA 90505-6123
(818) 518-5980
Mailing address
25408 CRENSHAW BLVD, TORRANCE, CA 90505-6123
(818) 518-5980

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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