WILSHIRE CENTER FOR COSMETIC SURGERY A PROFESSIONAL CORPORATION NPI 1528499415

NPI Information

  • NPI: 1528499415
  • Provider Name: WILSHIRE CENTER FOR COSMETIC SURGERY, A PROFESSIONAL CORPORATION
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 5757 WILSHIRE BLVD
    PROMENADE 2
    LOS ANGELES, CA
    ZIP 90036
  • Phone: (323) 936-1245

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NPI Details

WILSHIRE CENTER FOR COSMETIC SURGERY, A PROFESSIONAL CORPORATION is an ambulatory surgical clinic center in Los Angeles, CA. WILSHIRE CENTER FOR COSMETIC SURGERY, A PROFESSIONAL CORPORATION NPI is 1528499415. The provider is registered as an organization entity type.

The provider's business location address is:

5757 WILSHIRE BLVD
PROMENADE 2
LOS ANGELES, CA
ZIP 90036-810
Phone: (323) 936-1245
Fax: (323) 904-4041

The provider's authorized official is William Rassman .
The authorized official title is President and has the following contact phone number (310) 553-9113.

The enumeration date for this NPI number is 12/3/2013 and was last updated on 12/3/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalG57255CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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