Organization
WILSHIRE CENTER FOR COSMETIC SURGERY, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RASSMAN MD (PRESIDENT)
(310) 553-9113
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD, PROMENADE 2, LOS ANGELES, CA 90036-5810
(323) 936-1245
(323) 904-4041
Mailing address
5757 WILSHIRE BLVD, PROMENADE 2, LOS ANGELES, CA 90036-5810
(323) 936-1245
(323) 904-4041
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G57255
CA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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