Organization
LA VITA REAL ESTATE LLC
Active
Other names
'B' STREET PLASTIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
MONEER JAIBAJI MD (MEDICAL DIRECTOR)
(619) 490-5141
Entity
Organization
Contact information
Practice address
1001 B AVE STE 108, CORONADO, CA 92118-3423
(619) 490-5141
Mailing address
1001 B AVE STE 108, CORONADO, CA 92118-3423
(619) 490-5141
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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