Healthcare Provider Details

I. General information

NPI: 1083259840
Provider Name (Legal Business Name): REMEDY PLACE PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2019
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8305 SUNSET BLVD
LOS ANGELES CA
90069
US

IV. Provider business mailing address

8305 SUNSET BLVD
LOS ANGELES CA
90069
US

V. Phone/Fax

Practice location:
  • Phone: 312-550-5360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN C LAYHE DO
Title or Position: CEO
Credential: DO
Phone: 310-275-6600