Organization
AESTHETIC EYE PLASTIC SURGEONS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGEETA LOGANI MD (PRESIDENT)
(818) 886-6700
Entity
Organization
Contact information
Practice address
17750 SHERMAN WAY, SUITE 100, RESEDA, CA 91335-8331
(818) 886-6700
(818) 886-6709
Mailing address
17750 SHERMAN WAY, SUITE 100, RESEDA, CA 91335-8331
(818) 886-6700
(818) 886-6709
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104590
—
CA
Enumeration date
08/16/2006
Last updated
02/19/2014
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