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Organization

EVAN GOLDSTEIN, D.O., INC., A PROFESSIONAL CORPORATION

Active
Other names
BESPOKE SURGICAL
Organization subpart
No

Provider details

NPI number
Authorized official
EVAN GOLDSTEIN (PRESIDENT)
(212) 206-1501
Entity
Organization

Contact information

Practice address
9033 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211-1836
(212) 206-1501
(888) 880-8621
Mailing address
9033 WILSHIRE BLVD STE 200, BEVERLY HILLS, CA 90211-1836
(212) 206-1501
(888) 880-8621

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A 14799
CA

Other

Enumeration date
09/02/2016
Last updated
09/02/2016
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