COSMETIC PHYSICIAN S OF BEVERLY HILLS (NPI# 1093925166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093925166 |
| Entity Type | Organization |
| Organization Name | COSMETIC PHYSICIAN S OF BEVERLY HILLS |
| Practice Address |
436 N Bedford Dr Suite 300 Beverly Hills CA 90210-4310 |
| Practice Telephone | 3105505893 |
| Practice Fax Number | 3102880068 |
| Mailing Telephone | 3105505893 |
| Mailing Fax Number | 3102880068 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN EVANS (OWNER) |
| Authorized Official Telephone | 3105505893 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
A70983 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
436 N BEDFORD DR SUITE 300 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496382 | Rodney H. Bluestone | Specialist | 436 N Bedford Dr, Ste 303, Beverly Hills, CA 90210-4320 | 2005-06-13 |
| 1568001253 | Sarah Flood | Physician Assistant | 436 N Bedford Dr, Beverly Hills, CA 90210-4310 | 2019-12-30 |
| 1639620198 | Stitch, LLC | Clinic/Center | 436 N Bedford Dr, Suite 214, Beverly Hills, CA 90210-4310 | 2016-10-19 |
| 1760878367 | Bedford Breast Center, Inc | Clinic/Center | 436 N Bedford Dr, Suite 105, Beverly Hills, CA 90210-4310 | 2015-04-09 |
| 1154717742 | Heather Richardson, Md | Surgery | 436 N Bedford Dr, Suite 105, Beverly Hills, CA 90210-4310 | 2015-04-09 |
| 1780078501 | Adam B Brown, Do,inc | Anesthesiology | 436 N Bedford Dr, Beverly Hills, CA 90210-4310 | 2015-03-19 |
| 1154727832 | Kaitlin Kane | Physician Assistant | 436 N Bedford Dr, 103, Beverly Hills, CA 90210-4310 | 2014-11-07 |
| 1831513266 | Allied General and Oncology Surgical Associates Inc | Surgery | 436 N Bedford Dr, Suite 103, Beverly Hills, CA 90210-4310 | 2014-02-05 |
| 1669713970 | Stitchmd | Plastic Surgery | 436 N Bedford Dr, Suite 308, Beverly Hills, CA 90210-4310 | 2013-03-12 |
| 1790041770 | Shahram F. Ravan,m.d., Inc. | Internal Medicine | 436 N Bedford Dr, Suite 214, Beverly Hills, CA 90210-4310 | 2012-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254146 | Beverly Hills Medical Center for Cosmetic Surgery Inc | Plastic Surgery | 9735 Wilshire Blvd, 220, Beverly Hills, CA 90212-2107 | 2017-02-21 |
| 1881911865 | Justin Rome | Plastic Surgery | 250 S La Cienega Blvd, Beverly Hills, CA 90211-3302 | 2010-04-29 |
| 1063734234 | Parsa Md Inc | Plastic Surgery | 465 N Roxbury Dr Ste 1001, Beverly Hills, CA 90210-4213 | 2010-02-15 |
| 1316115579 | Harrison H Lee | Plastic Surgery | 9735 Wilshire Blvd, Suite 220, Beverly Hills, CA 90212-2107 | 2008-02-11 |
| 1205980448 | William Jay Binder | Plastic Surgery | 120 S Spalding Dr Ste 340, Beverly Hills, CA 90212-1841 | 2007-01-23 |
| 1578577920 | Fadi Chahin | Plastic Surgery | 433 N Camden Dr, Ste 1170, Beverly Hills, CA 90210-4409 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860079 | Scanning Trend, Inc | Plastic Surgery | 3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039-1599 | 2020-04-22 |
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1548799927 | Affinity Surgery Center, Inc | Plastic Surgery | 16311 Ventura Blvd Ste #555, Encino, CA 91436-4314 | 2017-06-08 |
| 1144774613 | Joseph Lochinvar Dinglasan Sr Md Sr. | Plastic Surgery | 709 Bowcreek Dr, Diamond Bar, CA 91765-1885 | 2016-08-12 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1134588775 | Beverly Hills of Westlake Plastic Surgery, Inc. | Plastic Surgery | 115 Jensen Ct # 200, Thousand Oaks, CA 91360-7406 | 2016-02-10 |
| 1144547183 | Melanie Malone | Plastic Surgery | 4150 Regents Park Row Ste 280, La Jolla, CA 92037-1417 | 2010-04-30 |
| 1407924137 | Robert F. Nemeroff, M.d., Inc. | Plastic Surgery | 1509 Manning Ave, Los Angeles, CA 90024-5813 | 2006-12-01 |
| 1568495562 | Richard A. Gangnes M.d. Inc. | Plastic Surgery | 665 Camino De Los Mares Ste 100, San Clemente, CA 92673-2840 | 2006-07-10 |
| 1124074059 | Blue Pacific Aesthetic Medical Group | Plastic Surgery | 415 Pier Ave, Hermosa Beach, CA 90254-3820 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| 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.