Organization · Type 2 NPI
Cosmetic Laser Medspa, Inc.
General Practice Physician · Los Angeles, CA
NPI number
1740718345
Active
Practice location
1535 S La Cienega Blvd
Los Angeles, CA 90035-3714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1740718345
Cosmetic Laser Medspa, Inc.'s National Provider Identifier is 1740718345, issued on May 25, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 25, 2017.