Organization
BEDFORD BREAST SURGEONS
Active
Organization
BEDFORD BREAST SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CASSILETH M.D (PRESIDENT)
(310) 278-8580
Entity
Organization
Contact information
Practice address
436 NORTH BEDFORD DRIVE, SUITE 105, BEVERLY HILLS, CA 90210-4323
(310) 278-8590
(424) 202-3759
Mailing address
436 NORTH BEDFORD DRIVE, SUITE 105, BEVERLY HILLS, CA 90210-4323
(310) 278-8590
(424) 202-3759
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/03/2020
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