Organization
AESTHETIC DOCTORS GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARICK SMAILI M.D. (OWNER)
(714) 482-2529
Entity
Organization
Contact information
Practice address
910 BIRTCH ST #350, BREA, CA 92821
(714) 482-2529
Mailing address
27068 LA PAZ RD # 190, ALISO VIEJO, CA 92656-3041
(858) 759-7152
(310) 861-0227
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A30971
CA
208200000X
Plastic Surgery Physician
Primary
A75774
CA
208200000X
Plastic Surgery Physician
A94269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A30971
CA STATE LICENSE
CA
01
—
A75774
CA STATE LICENSE
CA
01
—
A94269
CA STATE LICENSE
CA
Enumeration date
06/22/2011
Last updated
07/19/2011
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