Organization
ASESU LASER MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIDAD AGUILA-VIVAR RD (CEO)
(661) 495-8883
Entity
Organization
Contact information
Practice address
4940 VAN NUYS BLVD STE 306, SHERMAN OAKS, CA 91403-1744
(661) 495-8883
(214) 271-9831
Mailing address
4940 VAN NUYS BLVD STE 306, SHERMAN OAKS, CA 91403-1744
(661) 495-8883
(214) 271-9831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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