RODEO DRIVE PLASTIC SURGERY INC NPI 1114078342

NPI Information

  • NPI: 1114078342
  • Provider Name: RODEO DRIVE PLASTIC SURGERY INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: RODEO DRIVE OUTPATIENT SURGERY CENTER
  • CLIA Number: 05D2323918
  • Address: 421 N RODEO DR
    BEVERLY HILLS, CA
    ZIP 90210
  • Phone: (310) 550-6300

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NPI Details

RODEO DRIVE PLASTIC SURGERY INC is an ambulatory surgical clinic center in Beverly Hills, CA. RODEO DRIVE PLASTIC SURGERY INC NPI is 1114078342. The provider is registered as an organization entity type.
The provider Is Doing Business As Rodeo Drive Outpatient Surgery Center.

The provider's business location address is:

421 N RODEO DR
BEVERLY HILLS, CA
ZIP 90210-536
Phone: (310) 550-6300
Fax: (310) 550-6363

The provider's authorized official is Lloyd M. Krieger .
The authorized official title is Medical Director and has the following contact phone number (310) 550-6300.

The CLIA number assigned to this NPI record is 05D2323918 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 3/11/2009.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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