Organization
PURE SKIN RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOUN EGHBALI (CEO)
(305) 791-3160
Entity
Organization
Contact information
Practice address
18653 VENTURA BLVD STE 218, TARZANA, CA 91356-4103
(305) 791-3160
Mailing address
18653 VENTURA BLVD STE 218, TARZANA, CA 91356-4103
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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