Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mobile Executive Healthcare Cosmetic and Rejuvenation Medical

Organization Surgery Physician · NPI 1083411664

Mobile Executive Healthcare Cosmetic and Rejuvenation Medical provides Surgery Physician services in Los Angeles, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1425 W Manchester Ave Ste A
Los Angeles, CA 90047-5436
Phone: (310) 242-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1083411664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Davidson — Administrator · (310) 212-1500
Other names Youthnlooks
NPI enumeratedFebruary 28, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address1270 S Alfred St # 1064, Los Angeles, CA 90035-2506

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