Fountain of Youth Cosmetic Center
NPI #1821321209 in Cerritos, California
Provider Information
- NPI Number
- 1821321209
- Entity Type
- Organization
- Organization Name
- Fountain of Youth Cosmetic Center
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 16, 2009
- Last Updated
- Sep 16, 2009
Practice Location
- Address
- 17100 NORWALK BLVD STE 111
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-2750
- Phone
- (562) 653-0180
Authorized Official
- Name
- ANIL K GANDHI, M.D.
- Title
- OWNER
- Phone
- (562) 653-0180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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