NPI 1962836361

Lejolie Medical Spa

Organisation Health Maintenance Organization Studio City, CA

Practice location

Address: 13041 Ventura Blvd, Studio City, CA 91604-2237
Phone: (818) 501-1114
Fax: (818) 501-1116

Authorised official

Name: Parvaneh Rafaeloff
Title: Medical Director
Phone: (818) 501-1114

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence A52350 (CA)

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Registry record

NPI: 1962836361
Entity type: Organization
NPI issued: 21 Aug 2013
Record last updated: 21 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.