Organization
BAMBU SKIN AND SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY DAVIS (PRESIDENT)
(310) 779-3025
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD STE 240, ENCINO, CA 91436-2513
(310) 779-3025
Mailing address
16101 VENTURA BLVD STE 240, ENCINO, CA 91436-2513
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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