TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC NPI 1336497353

NPI Information

  • NPI: 1336497353
  • Provider Name: TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Organization
  • Doing Business As: WESTLAKE PREMIER SURGERY CENTER
  • CLIA Number: 05D2293075
  • Address: 2835 TOWNSGATE RD STE 101
    WESTLAKE VILLAGE, CA
    ZIP 91361
  • Phone: (805) 715-4996

Map and Directions

Get Directions

NPI Details

TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC is a facial plastic surgery otolaryngology in Westlake Village, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC NPI is 1336497353. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Westlake Premier Surgery Center.

The provider's business location address is:

2835 TOWNSGATE RD STE 101
WESTLAKE VILLAGE, CA
ZIP 91361-005
Phone: (805) 715-4996
Fax: (805) 715-4995

The provider's authorized official is Kristina Tansavatdi .
The authorized official title is President and has the following contact phone number (805) 715-4996.

The CLIA number assigned to this NPI record is 05D2293075 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2012 and was last updated on 4/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic SurgeryA116470CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11932397007OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI