NPI | 1336497353 |
---|---|
Doing Business As | WESTLAKE PREMIER SURGERY CENTER |
Doing Business As | TANSAVATDI FACIAL PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | KRISTINA TANSAVATDI President 805-715-4996 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A116470) |
Enumeration Date | 2012-08-23 |
Last Update Date | 2024-04-07 |