Organization
LONG BEACH MEDISPA MANAGEMENT, INC.
Active
Parent organization
LONG BEACH MEDISPA MANAGEMENT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG BEACH MEDISPA MANAGEMENT, INC.
Authorized official
DAVID S SILVER M.D. (PHYSICIAN)
(562) 612-0950
Entity
Organization
Contact information
Practice address
2370 LONG BEACH BLVD, LONG BEACH, CA 90806-3260
(562) 612-0950
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 943-4180
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G73514
CA
Other
Enumeration date
07/17/2015
Last updated
08/25/2015
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