RYAN SPIVAK INTEGRATIVE PLASTIC SURGERY INC NPI 1841659042

NPI Information

RYAN SPIVAK INTEGRATIVE PLASTIC SURGERY INC is a plastic and reconstructive surgery surgery in Los Angeles, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. RYAN SPIVAK INTEGRATIVE PLASTIC SURGERY INC NPI is 1841659042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 W 3RD ST
SUITE 120A
LOS ANGELES, CA
ZIP 90057-932
Phone: (310) 739-3197

The provider's authorized official is Ryan M Spivak .
The authorized official title is Authorized Official and has the following contact phone number (310) 905-3331.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 5/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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