Organization
BEVERLY HILLS COSMETIC & LASER CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GOHAR MD (PRESIDENT)
(310) 275-4155
Entity
Organization
Contact information
Practice address
436 N ROXBURY DR, SUITE 115, BEVERLY HILLS, CA 90210-5026
(310) 275-4155
Mailing address
10660 WILSHIRE BLVD, SUITE 505, LOS ANGELES, CA 90024-4522
(310) 275-4155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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