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BEVERLY HILLS MEDICAL CENTER FOR COSMETIC SURGERY INC NPI 1093254146


NPI Information

NPI: 1093254146
Provider Name: BEVERLY HILLS MEDICAL CENTER FOR COSMETIC SURGERY INC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

CLIA Number: 05D2289430

Address:
9735 WILSHIRE BLVD
220
BEVERLY HILLS, CA
ZIP 90212
Phone: (310) 777-2627
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BEVERLY HILLS MEDICAL CENTER FOR COSMETIC SURGERY INC is a plastic surgery within the head and neck plastic surgery in Beverly Hills, CA. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. BEVERLY HILLS MEDICAL CENTER FOR COSMETIC SURGERY INC NPI is 1093254146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9735 WILSHIRE BLVD
220
BEVERLY HILLS, CA
ZIP 90212-107
Phone: (310) 777-2627
Fax: (310) 777-2632

The provider's authorized official is Harrison H Lee .
The authorized official title is President and has the following contact phone number (310) 777-2627.

The CLIA number assigned to this NPI record is 05D2289430 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 2/21/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckYes

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: 4/28/2024

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