Organization
SANTOSHA AESTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ENAYATI DO (MEDICAL DIRECTOR)
(310) 651-6937
Entity
Organization
Contact information
Practice address
822 S ROBERTSON BLVD STE 100, LOS ANGELES, CA 90035-1630
(310) 651-6937
Mailing address
118 S CLARK DR APT 104, WEST HOLLYWOOD, CA 90048-3275
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13199
CA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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