ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION – NPI #1578770426
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION is a surgeon located in BEVERLY HILLS, CA. NPPES has assigned the NPI number 1578770426 to ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 2 years ago on May 13, 2024. 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 ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION below.

NPI Profile for
ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION

NPI Number
1578770426
Enumeration Date

(more than 19 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
ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION
Primary location
120 SOUTH SPALDING DRIVE
#200
BEVERLY HILLS, CA 90212
Phone: (310) 888-8862 Fax: (310) 888-8711
Mailing address
1146 NORTH CENTRAL AVE
#101
GLENDALE, CA 91202
Phone: (310) 888-8862 Fax: (310) 888-8711
Organization Subpart
Yes - ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION is subpart of another organization.
Authorized Official
ANDRE ABOOLIAN
OWNER
Phone: (310) 888-8862
Updated
Certification Date
May 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 CA A81347
261QM2500X
- Clinic/Center / Medical Specialty		 CA A81347

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.