Provider Demographics
NPI:1497013098
Name:ROCKSTAR BEAUTY, P.C.
Entity Type:Organization
Organization Name:ROCKSTAR BEAUTY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVANJUN
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GREWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-276-2548
Mailing Address - Street 1:462 N LINDEN DR
Mailing Address - Street 2:SUITE 234
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2247
Mailing Address - Country:US
Mailing Address - Phone:310-276-2548
Mailing Address - Fax:310-997-2566
Practice Address - Street 1:462 N LINDEN DR
Practice Address - Street 2:SUITE 234
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2247
Practice Address - Country:US
Practice Address - Phone:310-276-2548
Practice Address - Fax:310-997-2566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA940612086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty