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General NPI Number Information
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NPI Number | 1639195035
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Entity Type | Organization
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Legal Business Name | BEVERLY HILLS AESTHETIC SURGICAL INSTITUTE INC.
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 311 N ROBERTSON BLVD STE 240
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1705
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Country | US
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Telephone | 310-247-9090
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Fax | 310-247-9080
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Provider Business Mailing Address
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Address Line | 435 N ROXBURY DR STE 200
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5004
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Country | US
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Telephone | 310-247-9090
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Fax | 310-247-9080
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARYOUSH DAVID SAADAT
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Credential | M.D.
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Telephone | 310-247-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A061184
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License Number State | CA
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