Organization
BIOVISAGE ACUPUNCTURE FACELIFT CLINIC
Active
Other names
Biovisage Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILOUFAR GORMAN LAC, MSOM (PRESIDENT CEO)
(323) 655-8220
Entity
Organization
Contact information
Practice address
9105 W SUNSET BLVD, WEST HOLLYWOOD, CA 90069-3106
(323) 655-8220
Mailing address
3660 AMESBURY RD, LOS ANGELES, CA 90027-1304
(323) 655-8220
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6481
CA
Other
Enumeration date
04/16/2007
Last updated
03/06/2008
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