AESTHETIC SURGICAL CENTER OF SANTA MONICA; NPI #1740335744

Contact Information

AESTHETIC SURGICAL CENTER OF SANTA MONICA

1301 20TH ST STE 350
SANTA MONICA, CA 90404-2052

Phone: 310-315-1121
Fax: 310-315-9921
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for AESTHETIC SURGICAL CENTER OF SANTA MONICA

NPI Number 1740335744

LBN Legal business name AESTHETIC SURGICAL CENTER OF SANTA MONICA

Authorized official STEVEN TEITELBAUM - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/23/2007

Last updated 06/12/2017 - About 9 years ago

Identifiers

CA	License #	105461
CA	Medicaid	1740335744

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AESTHETIC SURGICAL CENTER OF SANTA MONICA

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for AESTHETIC SURGICAL CENTER OF SANTA MONICA

Reviews for AESTHETIC SURGICAL CENTER OF SANTA MONICA