Organization
THE ISSE INSTITUTE OF COSMETIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICANOR G. ISSE M.D. (MEDICAL DIRECTOR/THE ISSE INSTITUTE)
(818) 557-6595
Entity
Organization
Contact information
Practice address
201 S BUENA VISTA ST, SUITE 250, BURBANK, CA 91505-4569
(818) 557-6595
(818) 557-6598
Mailing address
201 S BUENA VISTA ST, SUITE 250, BURBANK, CA 91505-4569
(818) 557-6595
(818) 557-6598
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A34958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487752929
NPI
CA
Enumeration date
01/17/2008
Last updated
06/21/2018
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