Organization
COSMETIC SURGERY CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIAN S MOWLAVI M.D. (CEO)
(949) 499-4147
Entity
Organization
Contact information
Practice address
32406 COAST HWY STE 1, LAGUNA BEACH, CA 92651-6783
(949) 499-4147
(949) 499-2585
Mailing address
32406 COAST HWY STE 1, LAGUNA BEACH, CA 92651-6783
(949) 499-4147
(949) 499-2585
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A85870A
CA
Other
Enumeration date
08/11/2006
Last updated
12/11/2018
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