ELITE PLASTIC SURGERY is an ambulatory surgical clinic center in Los Angeles, CA. ELITE PLASTIC SURGERY NPI is 1760924005. The provider is registered as an organization entity type.
The provider's business location address is:
12732 W WASHINGTON BLVD STE B
LOS ANGELES, CA
ZIP 90066-378
Phone: (310) 275-4170
The provider's authorized official is Keeneth B Hughes .
The authorized official title is Medical Director and has the following contact phone number (310) 275-4170.
The CLIA number assigned to this NPI record is 05D2100839 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.