Organization
SOM K PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOM KOHANZADEH MD (PRESIDENT)
(424) 239-9743
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, SUITE 880W, LOS ANGELES, CA 90048-6101
(424) 239-9743
Mailing address
8635 W 3RD ST, SUITE 880W, LOS ANGELES, CA 90048-6101
(424) 239-9743
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A95627
CA
Other
Enumeration date
06/10/2014
Last updated
04/06/2017
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