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Organization

SHONAN BEAUTY CLINIC BEVERLY HILLS, INC.

Active
Other names
Shonan Beauty Clinic Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES PAUL WATSON M.D. (MEDICAL DIRECTOR)
(805) 723-8008
Entity
Organization

Contact information

Practice address
425 HAALAND DRIVE, SUITE 100, THOUSAND OAKS, CA 91361-5229
(805) 723-8008
(805) 852-2675
Mailing address
425 HAALAND DRIVE, SUITE 102, THOUSAND OAKS, CA 91361-5229
(805) 723-8008
(805) 852-2675

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
03/28/2018
Last updated
03/28/2018
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