Lejolie Medical Spa
NPI #1962836361 in Studio City, California
Provider Information
- NPI Number
- 1962836361
- Entity Type
- Organization
- Organization Name
- Lejolie Medical Spa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Aug 21, 2013
- Last Updated
- Aug 21, 2013
Practice Location
- Address
- 13041 VENTURA BLVD
- City
- Studio City
- State
- California
- ZIP Code
- 91604-2237
- Phone
- (818) 501-1114
Authorized Official
- Name
- DR. PARVANEH RAFAELOFF, M.D,
- Title
- MEDICAL DIRECTOR
- Phone
- (818) 501-1114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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