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General NPI Number Information
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NPI Number | 1336954379
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Entity Type | Organization
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Legal Business Name | CALIFORNIA BREAST SURGERY ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 240 S JACKSON ST STE 109
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City | GLENDALE
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State | CA
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Zip | 91205-1594
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Country | US
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Telephone | 661-550-0002
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Fax | 818-302-1699
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Provider Business Mailing Address
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Address Line | 13505 RAND DR
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-4706
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Country | US
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Telephone | 310-806-0432
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER HENRY ASHJIAN
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Credential | MD
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Telephone | 310-806-0432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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