Organization
LOS ANGELES ENT FACIAL PLASTICS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERIF AMMAR MD (PRESIDENT)
(201) 725-0138
Entity
Organization
Contact information
Practice address
520 N PROSPECT AVE, SUITE 302, REDONDO BEACH, CA 90277-3041
(310) 798-1515
Mailing address
12409 LINCOLNSHIRE DR, BAKERSFIELD, CA 93311-9584
(201) 725-0138
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C52571
CA
Other
Enumeration date
09/03/2013
Last updated
08/20/2014
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