Organization
CASSILETH RECONSTRUCTIVE SURGEONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CASSILETH (CFO)
(310) 278-8200
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 103, BEVERLY HILLS, CA 90210-4323
(310) 278-8200
(424) 202-3769
Mailing address
436 N BEDFORD DR, SUITE 103, BEVERLY HILLS, CA 90210-4323
(310) 278-8200
(424) 202-3769
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
02/12/2025
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