Organization
WILLIAM BRUNO PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA MACHADO (MANAGER)
(310) 461-3855
Entity
Organization
Contact information
Practice address
201 S LASKY DR, BEVERLY HILLS, CA 90212-3610
(310) 461-3855
Mailing address
201 S LASKY DR, BEVERLY HILLS, CA 90212-3610
(310) 461-3855
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A86713
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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