RECONSTRUCTIVE SURGERY SPECIALISTS OF SOUTHERN CALIFORNIA NPI 1205061090

NPI Information

RECONSTRUCTIVE SURGERY SPECIALISTS OF SOUTHERN CALIFORNIA is a specialist in Beverly Hills, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RECONSTRUCTIVE SURGERY SPECIALISTS OF SOUTHERN CALIFORNIA NPI is 1205061090. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Reconstructive Surgery Specialists Of Southern California.

The provider's business location address is:

9001 WILSHIRE BLVD
106
BEVERLY HILLS, CA
ZIP 90211-838
Phone: (310) 273-8849
Fax: (866) 664-7321

The provider's authorized official is Michael Omidi .
The authorized official title is Owner and has the following contact phone number (310) 273-8849.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 5/21/2009.

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:

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