Organization
BAY AREA ESTHETICS PLASTIC SURGERY INC
Active
Other names
Bay Area Esthetics Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVID POURTAHERI MD, PHD (PRESIDENT AND SECRETARY)
(415) 523-5235
Entity
Organization
Contact information
Practice address
1111 SONOMA AVE STE 210, SANTA ROSA, CA 95405-4833
(209) 339-8921
(415) 523-5235
Mailing address
530 DIVISADERO ST. PMB 759, SAN FRANCISCO, CA 94117-2213
(415) 523-5235
(415) 523-5235
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
01/24/2023
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