Rodeo Drive Plastic Surgery Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RODEO DRIVE PLASTIC SURGERY INC

Doing business as

Rodeo Drive Outpatient Surgery Center

Practice address

421 N Rodeo Dr
Beverly Hills, CA 90210-4536

Phone

(310) 550-6300

Fax

(310) 550-6363

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lloyd M. Krieger, MD

Title

Medical Director

Phone

(310) 550-6300

Specialties & licenses 1

Addresses

Other names 1

• Rodeo Drive Outpatient Surgery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1114078342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104536",
            "telephone_number": "310-550-6300",
            "fax_number": "310-550-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104536",
            "telephone_number": "310-550-6300",
            "fax_number": "310-550-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO DRIVE PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-550-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodeo Drive Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean R. Robinson, O.T.
• Nina C. Robinson, DPM
• Rebecca Robinson, MFT
• Rockstar Beauty, P.C.
• Rodeo Aesthetics, Inc.
• Rodeo Medical Group
• Rodeo Recovery LLC
• Rodeo Surgical Institute Inc.
• Devorah Rodgers, MFT
• Rodney Bluestone Medical Corporation

• 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 Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.