Modern Intitute of Plastic Surgery & Anti-Aging

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

C2780128 Issued in CA

Legal business name

MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING

Practice address

9090 Burton Way
Beverly Hills, CA 90211-1661

Phone

(310) 278-0077

NPI assigned

Dec 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ryan A. Stanton, M.D.

Title

Medical Director

Phone

(310) 278-0077

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1003090978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 BURTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111661",
            "telephone_number": "310-278-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 BURTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111661",
            "telephone_number": "310-278-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN INTITUTE OF PLASTIC SURGERY & ANTI-AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-278-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "C2780128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fardad Mobin, M.D.
• Farivar Mobin, D.C.
• Robert Mocharla, M.D.
• Modern Institue of Surgery, Inc
• Modern Institute of Plastic Surgery & Antiaging, Inc.
• Modern Surgery Centers LLC
• Michael Modica, M.D.
• Brent R.W. Moelleken, M.D.
• Farshad Moftakhar, D.D.S.
• Liyan Moghadam Massaband, D.M.D.

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.