Organization
WOODLAKE SURGERY CENTER
Active
Other names
cosmopolitan plastic and reconstructive surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OMIDI MD (CEO)
(310) 308-9678
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8885
(310) 273-8662
Mailing address
9001 WILSHIRE BLVD, SUITE 106, BEVERLY HILLS, CA 90211-1838
(310) 273-8885
(310) 273-8662
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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