Organization
TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC
Active
Other names
Tansavatdi Facial Plastic Surgery, Westlake Premier Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA TANSAVATDI M.D. (PRESIDENT)
(805) 715-4996
Entity
Organization
Contact information
Practice address
2835 TOWNSGATE RD STE 101, WESTLAKE VILLAGE, CA 91361-3005
(805) 715-4996
(805) 715-4995
Mailing address
2835 TOWNSGATE RD STE 100, WESTLAKE VILLAGE, CA 91361-5021
(805) 715-4996
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A116470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932397007
NPI
—
Enumeration date
08/23/2012
Last updated
04/07/2024
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