Organization
SURGI ART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY S NEAVIN M.D. (MEDICAL DIRECTOR)
(310) 560-4434
Entity
Organization
Contact information
Practice address
999 DOHENY DRIVE UNIT 705, WEST HOLLYWOOD, CA 90069-3150
(310) 560-4434
Mailing address
999 DOHENY DRIVE UNIT 705, WEST HOLLYWOOD, CA 90069-3150
(310) 560-4434
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A99678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99678
STATE LICENSE
CA
Enumeration date
05/03/2010
Last updated
05/03/2010
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