David Dorfman MD Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A106340 Issued in CA

Legal business name

DAVID DORFMAN MD INC

Doing business as

Dorfman Plastic Surgery

Practice address

6226 E Spring St Ste 380
Long Beach, CA 90815-1444

Phone

(562) 595-6543

Fax

(562) 595-1414

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

David Wade DorfmanNPI 1942535703

Title

Owner

Phone

(916) 601-3457

Specialties & licenses 1

Addresses

Other names 1

• Dorfman Plastic Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Wade Dorfman, MD, DDS

  • Plastic Surgery Physician
  • Long Beach, CA
  • NPI 1942535703
  Medicare reassignment Authorized official
• Michael J Yoo, M.D.

  • Plastic Surgery Physician
  • Irvine, CA
  • NPI 1194915868
  NPD

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1508271263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151444",
            "telephone_number": "562-595-6543",
            "fax_number": "562-595-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151444",
            "telephone_number": "562-595-6543",
            "fax_number": "562-595-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DORFMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-601-3457"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A106340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorfman Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dorfman Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic and Reconstructive Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.