Organization Active NPI

David Shamouelian MD Inc

  • Facial Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1104341791
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A118986 Issued in CA
Legal business name
DAVID SHAMOUELIAN MD INC
Practice address
201 S Lasky Dr
Beverly Hills, CA 90212-3610
Phone
(310) 461-3835
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
David Shamouelian, MD
Title
President
Phone
(310) 435-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X A118986 CA Primary

Addresses

Primary practice location

201 S Lasky Dr
Beverly Hills, CA 90212-3610

Mailing address

9663 Santa Monica Blvd # 1452
Beverly Hills, CA 90210-4303
Phone (310) 435-1808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1104341791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 1452",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-435-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LASKY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123610",
            "telephone_number": "310-461-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SHAMOUELIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "SHAMOUELIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-435-1808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A118986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.