Individual
DR. KRISTINA TANSAVATDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2835 TOWNSGATE RD STE 100, WESTLAKE VILLAGE, CA 91361-5021
(805) 715-4996
(805) 715-4995
Mailing address
2835 TOWNSGATE RD STE 100, WESTLAKE VILLAGE, CA 91361-5021
(805) 715-4996
(805) 715-4995
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A116470
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A116470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336497353
NPI
—
Enumeration date
10/13/2007
Last updated
03/03/2024
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