Organization
REZA NABAVIAN, MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL SANTOS (FINANCIAL ADMINISTRATOR)
(310) 829-5550
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 1180W, SANTA MONICA, CA 90404-2102
(310) 829-5550
(310) 829-5502
Mailing address
2001 SANTA MONICA BLVD, 1180W, SANTA MONICA, CA 90404-2102
(310) 829-5550
(310) 829-5502
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A062706
CA
Other
Enumeration date
07/18/2011
Last updated
08/29/2011
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