Organization Active NPI

Beverly Hills Cosmetic & Laser Center Inc

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1205238714
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BEVERLY HILLS COSMETIC & LASER CENTER INC
Practice address
436 N Roxbury Dr
Suite 115
Beverly Hills, CA 90210-5026
Phone
(310) 275-4155
NPI assigned
Sep 16, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Kathy Gohar, MD
Title
President
Phone
(310) 275-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

436 N Roxbury Dr
Suite 115
Beverly Hills, CA 90210-5026

Mailing address

10660 Wilshire Blvd
Suite 505
Los Angeles, CA 90024-4522
Phone (310) 275-4155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1205238714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 WILSHIRE BLVD",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244522",
            "telephone_number": "310-275-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR",
            "address_2": "SUITE 115",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105026",
            "telephone_number": "310-275-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS COSMETIC & LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "GOHAR",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-275-4155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "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 Sep 16, 2014; 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.