Reconstructive Surgery Specialists of Southern California
NPI #1205061090 in Beverly Hills, California
Provider Information
- NPI Number
- 1205061090
- Entity Type
- Organization
- Organization Name
- Reconstructive Surgery Specialists of Southern California
- Primary Specialty
- Specialist
- Enumeration Date
- May 21, 2009
- Last Updated
- May 21, 2009
Practice Location
- Address
- 9001 WILSHIRE BLVD
- Address 2
- 106
- City
- Beverly Hills
- State
- California
- ZIP Code
- 90211-1838
- Phone
- (310) 273-8849
Authorized Official
- Name
- MICHAEL OMIDI, MD
- Title
- OWNER
- Phone
- (310) 273-8849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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