MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING (NPI# 1003090978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003090978 |
| Entity Type | Organization |
| Organization Name | MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING |
| Practice Address |
9090 Burton Way Beverly Hills CA 90211-1661 |
| Practice Telephone | 3102780077 |
| Mailing Telephone | 3102780077 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | DR. RYAN A. STANTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3102780077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
C2780128 | CA | Ambulatory Health Care Facilities |
| Street Address |
9090 BURTON WAY |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891854915 | Ryan Andrew Stanton | Surgery | 9090 Burton Way, Beverly Hills, CA 90211 | 2006-12-06 |
| 1659861722 | Beverly Hills Breast Center Inc | Plastic Surgery | 9090 Burton Way, Beverly Hills, CA 90211 | 2018-05-15 |
| 1629441878 | Mahesh S Desilva Md A Medical Corporation | Anesthesiology | 9090 Burton Way, Beverly Hills, CA 90211-1661 | 2015-11-10 |
| 1891194510 | Ryan A Stanton Md Inc | Surgery | 9090 Burton Way, Beverly Hills, CA 90211-1661 | 2014-08-19 |
| 1568899177 | Modern Institue of Surgery, Inc | Clinic/Center | 9090 Burton Way, Beverly Hills, CA 90211-1661 | 2013-09-27 |
| 1619254406 | Modern Institute of Plastic Surgery & Antiaging, Inc. | Clinic/Center | 9090 Burton Way, Beverly Hills, CA 90211-1661 | 2011-11-08 |
| 1760778146 | Modern Surgery Centers LLC | Clinic/Center | 9090 Burton Way, Beverly Hills, CA 90211-1661 | 2011-06-23 |
| 1225366974 | Pacific Aesthetic Institute, Inc | Plastic Surgery | 9090 Burton Way, Beverly Hills, CA 90211 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492040 | Bh Outpatient Surgical Center | Clinic/Center | 50 N La Cienega Blvd Ste 110, Beverly Hills, CA 90211-2339 | 2020-06-22 |
| 1003437336 | Beverly Hills Endosurgical Center LLC | Clinic/Center | 150 N Robertson Blvd Ste 110, Beverly Hills, CA 90211-2118 | 2020-04-28 |
| 1699308361 | Wilshire Surgery Center, Inc. | Clinic/Center | 8654 Wilshire Blvd, Beverly Hills, CA 90211-2910 | 2020-02-20 |
| 1104469105 | Tlc Surgical Center | Clinic/Center | 240 S La Cienega Blvd # 210, Beverly Hills, CA 90211-3324 | 2019-10-22 |
| 1871147793 | Melnic & Associates Inc | Clinic/Center | 325 N Maple Dr Ste 17773, Beverly Hills, CA 90210-3428 | 2019-07-29 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1407416597 | Beverly Hills Surgical Institute | Clinic/Center | 9025 Wilshire Blvd Ste 201, Beverly Hills, CA 90211-1825 | 2019-06-19 |
| 1285292748 | The Center for Surgery At Bedford LLC | Clinic/Center | 436 N Bedford Dr Ste 101, Beverly Hills, CA 90210-4323 | 2019-05-30 |
| 1538722699 | R & R Surgical Centers | Clinic/Center | 8500 Wilshire Blvd Ste 105, Beverly Hills, CA 90211-3110 | 2019-04-15 |
| 1295292225 | Beverly Hills Outpatient Surgery and Sports Medicine, LLC | Clinic/Center | 120 S Spalding Dr Ste 205, Beverly Hills, CA 90212-1840 | 2019-02-26 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.