Advanced Weight Loss Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A79543 Issued in CA

Legal business name

ADVANCED WEIGHT LOSS SURGICAL ASSOCIATES INC

Practice address

435 N Roxbury Dr
Ste 100
Beverly Hills, CA 90210-5027

Phone

(310) 855-8058

Fax

(310) 855-8059

NPI assigned

Feb 6, 2015

Organization subpart

No

Name

Michael Feiz, MD

Title

Official

Phone

(310) 855-8058

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2015.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1043601412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "#294",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-855-8058",
            "fax_number": "310-855-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-855-8058",
            "fax_number": "310-855-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WEIGHT LOSS SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "FEIZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "310-855-8058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A79543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Beverly Hills, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.