Provider Demographics
NPI:1336954379
Name:CALIFORNIA BREAST SURGERY ASSOCIATES, INC.
Entity type:Organization
Organization Name:CALIFORNIA BREAST SURGERY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:ASHJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-806-0432
Mailing Address - Street 1:13505 RAND DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4706
Mailing Address - Country:US
Mailing Address - Phone:310-806-0432
Mailing Address - Fax:
Practice Address - Street 1:240 S JACKSON ST STE 109
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1594
Practice Address - Country:US
Practice Address - Phone:661-550-0002
Practice Address - Fax:818-302-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty