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Organization

ENHANCE AESTHETICS & GYNECOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SID KAMRAVA M.D. (OWNER)
(818) 783-5050
Entity
Organization

Contact information

Practice address
17525 VENTURA BLVD, 1-M, ENCINO, CA 91316-3843
(818) 783-5050
(818) 783-5059
Mailing address
17525 VENTURA BLVD, SUITE 1-M, ENCINO, CA 91316-3843
(818) 783-5050
(818) 783-5059

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34548
CA

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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