Organization
JOHN CHRISTIAN LAYKE DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHRISTIAN LAYKE DO (CEO)
(310) 275-6600
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 308, BEVERLY HILLS, CA 90210-4310
(310) 275-6600
(310) 275-6607
Mailing address
436 N BEDFORD DR, SUITE 308, BEVERLY HILLS, CA 90210-4310
(310) 275-6600
(310) 275-6607
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20A10771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10771
OSTEOPATHIC LICENSE
CA
Enumeration date
06/09/2011
Last updated
06/09/2011
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