Organization
PLASTIC AND RECONSTRUCTIVE CARE, LLC
Active
Parent organization
LEIF L. ROGERS, MD,LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEIF L. ROGERS, MD,LLC.
Authorized official
MR. MIKE ROMAGNOLI (MANAGER)
(310) 801-6741
Entity
Organization
Contact information
Practice address
9735 WILSHIRE BLVD PH, BEVERLY HILLS, CA 90212-2104
(310) 860-8915
Mailing address
3505 ALMA AVE, MANHATTAN BEACH, CA 90266-3330
(310) 801-6741
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
11/02/2018
Last updated
03/05/2019
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