Organization
VARICOSE RELIEF INC
Active
Other names
Ktown Medspa & Varicose Relief
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOSSEIN BABAALI M.D. (M.D./CEO)
(310) 367-3268
Entity
Organization
Contact information
Practice address
3130 W OLYMPIC BLVD, SUITE 360, LOS ANGELES, CA 90006-2484
(323) 733-1004
(323) 733-1003
Mailing address
3130 W OLYMPIC BLVD, SUITE 360, LOS ANGELES, CA 90006-2484
(323) 733-1004
(323) 733-1003
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G86162
CA
207RP1001X
Pulmonary Disease Physician
Primary
G86162
CA
261QM1300X
Multi-Specialty Clinic/Center
G86162
CA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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