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Tansavatdi Cosmetic & Reconstructive Surgery Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC13364973532024-04-07

The organization Tansavatdi Cosmetic & Reconstructive Surgery Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1336497353. Registration indicates Tansavatdi Cosmetic & Reconstructive Surgery Inc is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Otolaryngology (Otolaryngology: Facial Plastic Surgery, ) (Specialist Network, ) (Otolaryngology Facial Plastic Surgery, Allopathic & Osteopathic Physicians) (Otolaryngology, )

Entity TypeOrganization
Provider OrganizationTANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC
Other Provider OrganizationWESTLAKE PREMIER SURGERY CENTER
Practice Office Address2835 TOWNSGATE RD STE 101
WESTLAKE VILLAG, CA US
Practice Office Telephone8057154996
Practice Office Fax8057154995
Mailing Address2835 TOWNSGATE RD STE 100
WESTLAKE VILLAGE, CA 913615021 US
Business Telephone8057154996
Authorized OfficialKRISTINA TANSAVATDI, PRESIDENT
8057154996
HPT Codes
CodePractice
License No
State
207YS0123X PRIMARY
Allopathic & Osteopathic Physicians
Otolaryngology
Otolaryngology: Facial Plastic Surgery

Specialist Network

Otolaryngology Facial Plastic Surgery
Allopathic & Osteopathic Physicians
Otolaryngology
A116470
CA
193400000X SINGGroup Code
OPI Codes
1932397007 OTHER NPI
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