Organization
TOTAL HEALTH MEDICAL INSTITUTE LLC
Active
Other names
La Belle Vie Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER ANTONIO MANGUBAT MD (MEDICAL DIRECTOR)
(206) 575-0300
Entity
Organization
Contact information
Practice address
16400 SOUTHCENTER PARKWAY, SUITE 101, TUKWILA, WA 98188
(206) 575-0300
(206) 575-1881
Mailing address
16400 SOUTHCENTER PARKWAY, SUITE 101, TUKWILA, WA 98188
(206) 575-0300
(206) 575-1881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00032241
WA
Other
Enumeration date
07/31/2008
Last updated
01/30/2019
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