Organization
BURBANK PLASTIC SURGERY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVUNI HARRISON (CREDENTIALING)
(909) 710-2020
Entity
Organization
Contact information
Practice address
181 S BUENA VISTA ST FL 3, BURBANK, CA 91505-4504
(818) 748-4930
Mailing address
1385 MILLER DR, LOS ANGELES, CA 90069-1419
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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