Provider Demographics
NPI:1639305790
Name:LA BELLE CENTER FOR COSMETIC SURGERY
Entity Type:Organization
Organization Name:LA BELLE CENTER FOR COSMETIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYAGOPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:APPURAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-456-6532
Mailing Address - Street 1:4906 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:BUILDING M, SUITE 1
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6962
Mailing Address - Country:US
Mailing Address - Phone:337-456-6532
Mailing Address - Fax:337-456-6536
Practice Address - Street 1:4906 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:BUILDING M, SUITE 1
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6962
Practice Address - Country:US
Practice Address - Phone:337-456-6532
Practice Address - Fax:337-456-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical