Mobile Executive Healthcare Cosmetic and Rejuvenation Medical
NPI #1083411664 in Los Angeles, California
Provider Information
- NPI Number
- 1083411664
- Entity Type
- Organization
- Organization Name
- Mobile Executive Healthcare Cosmetic and Rejuvenation Medical
- Primary Specialty
- Surgery
- Enumeration Date
- Feb 28, 2025
- Last Updated
- Feb 28, 2025
Practice Location
- Address
- 1425 W MANCHESTER AVE STE A
- City
- Los Angeles
- State
- California
- ZIP Code
- 90047-5436
- Phone
- (310) 242-7400
Authorized Official
- Name
- DR. DANIEL DAVIDSON, PHD
- Title
- ADMINISTRATOR
- Phone
- (310) 212-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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