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Organization

LEILIE JAVAN, M.D., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEILIE J JAVAN M.D. (OWNER PHYSICIAN)
(805) 495-0551
Entity
Organization

Contact information

Practice address
425 HAALAND DR, SUITE 203, THOUSAND OAKS, CA 91361-5229
(805) 381-9800
(805) 496-8480
Mailing address
425 HAALAND DR, SUITE 203, THOUSAND OAKS, CA 91361-5229
(805) 381-9800
(805) 496-8480

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G861010
CA

Other

Enumeration date
02/26/2007
Last updated
09/01/2010
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