Robert F. Nemeroff, M.D., Inc.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

G66348 Issued in CA

Legal business name

ROBERT F. NEMEROFF, M.D., INC.

Practice address

1509 Manning Ave
Los Angeles, CA 90024-5813

Phone

(310) 441-0051

Fax

(310) 441-0052

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert F. Nemeroff, M.D.

Title

President

Phone

(310) 441-0051

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1407924137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD",
            "address_2": "#556",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-441-0051",
            "fax_number": "310-441-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MANNING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245813",
            "telephone_number": "310-441-0051",
            "fax_number": "310-441-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. NEMEROFF, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMEROFF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-441-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "G66348",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "G66348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Facial Plastic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.