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Organization

CENTER FOR MULTISPECIALTY AESTHETIC & RECONSTRUCTIVE SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization

Contact information

Practice address
9401 WILSHIRE BLVD, 650, BEVERLY HILLS, CA 90212-2913
(631) 827-8159
(631) 368-1538
Mailing address
9401 WILSHIRE BLVD, 650, BEVERLY HILLS, CA 90212-2913
(631) 827-8159
(631) 368-1538

Taxonomy

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

Other

Enumeration date
02/15/2016
Last updated
02/15/2016
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