MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING – NPI #1003090978
Clinic/Center

MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING is an AHC clinic located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1003090978 to MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING on December 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 13 years ago on Dec 06, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING below.

NPI Profile for
MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING

NPI Number
1003090978
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING
Primary location
9090 BURTON WAY
BEVERLY HILLS, CA 90211-1661
Phone: (310) 278-0077 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RYAN STANTON
MEDICAL DIRECTOR
Phone: (310) 278-0077
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA C2780128

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.