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General NPI Number Information
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NPI Number | 1104665744
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Entity Type | Organization
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Legal Business Name | BATAL LASER, INC.
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 1423 2ND ST STE 100
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City | SANTA MONICA
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State | CA
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Zip | 90401-2323
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Country | US
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Telephone | 310-714-8896
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Fax | 310-388-1193
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Provider Business Mailing Address
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Address Line | 1423 2ND ST STE 100
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City | SANTA MONICA
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State | CA
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Zip | 90401-2323
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Country | US
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Telephone | 310-714-8896
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Fax | 310-388-1193
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/PRESIDENT
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Name | DR. OBAIDA BATAL
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Credential | MD
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Telephone | 310-714-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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