Organization
REVERSE AGING CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX SAWAF M.D (CHAIRMAN AND CEO)
(310) 273-1166
Entity
Organization
Contact information
Practice address
455 N ROXBURY DR, BEVERLY HILLS, CA 90210-5001
(310) 273-1166
Mailing address
455 N ROXBURY DR, BEVERLY HILLS, CA 90210-5001
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
AS1422651
CA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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