Organization
BEVERLY HILLS DERMATOLOGY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETANTIA BUSSELL M.D. (MEDICAL DIRECTOR)
(310) 550-7661
Entity
Organization
Contact information
Practice address
433 N CAMDEN DR STE 805, BEVERLY HILLS, CA 90210-4412
(310) 550-7661
(310) 550-1920
Mailing address
433 N CAMDEN DR STE 805, BEVERLY HILLS, CA 90210-4412
(310) 550-7661
(310) 550-1920
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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