Modern Intitute of Plastic Surgery & Anti-Aging
Modern Intitute of Plastic Surgery & Anti-Aging provides Ambulatory Surgical Clinic/Center services in Beverly Hills, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
9090 Burton WayBeverly Hills, CA 90211-1661 Not confirmed with CMS for 12 years — call before visiting
Phone: (310) 278-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence C2780128 (CA) |
|---|
Record details
| NPI number | 1003090978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Stanton — Medical Director · (310) 278-0077 |
| NPI enumerated | December 27, 2007 |
| Last updated in NPPES | December 6, 2013 |
| Mailing address | 9090 Burton Way, Beverly Hills, CA 90211-1661 |
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