| La Center For Oral & Maxiollofacial Surgery A Ca Gp | |
|
2080 Century Park E Ste 610 Los Angeles CA 90067-2009 | |
| (310) 914-9150 | |
| (310) 914-9705 |
| Full Name | La Center For Oral & Maxiollofacial Surgery A Ca Gp |
|---|---|
| Speciality | Surgery |
| Location | 2080 Century Park E Ste 610, Los Angeles, California |
| Authorized Official Name and Position | Steven Kupferman (MEDICAL DOCTOR) |
| Authorized Official Contact | 3109149150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Center For Oral & Maxiollofacial Surgery A Ca Gp 2080 Century Park E Ste 610 Los Angeles CA 90067-2009 Ph: (310) 914-9150 | La Center For Oral & Maxiollofacial Surgery A Ca Gp 2080 Century Park E Ste 610 Los Angeles CA 90067-2009 Ph: (310) 914-9150 |
| NPI Number | 1952672107 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952672107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | A97977 (California) | Secondary |
| 208600000X | Surgery | A97977 (California) | Primary |
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