Wilshire Center for Cosmetic Surgery, a Professional Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G57255 Issued in CA

Legal business name

WILSHIRE CENTER FOR COSMETIC SURGERY, A PROFESSIONAL CORPORATION

Practice address

5757 Wilshire Blvd
Promenade 2
Los Angeles, CA 90036-5810

Phone

(323) 936-1245

Fax

(323) 904-4041

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

William Rassman, MD

Title

President

Phone

(310) 553-9113

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1528499415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "PROMENADE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "323-936-1245",
            "fax_number": "323-904-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "PROMENADE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "323-936-1245",
            "fax_number": "323-904-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE CENTER FOR COSMETIC SURGERY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "RASSMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-553-9113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G57255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilshire Aesthetics Medical Associates, Inc.
• Wilshire Anesthesia Associates LLC
• Wilshire Anesthesia Associates LLC
• Wilshire Cardiology Group, a Professional Corporation
• Wilshire Center for Ambulatory Surgery, Inc.
• Wilshire Center for Dermatology, a Professional Corporation
• Wilshire Co Medical Group Inc
• Wilshire Dermatology Medical Group, Inc.
• Wilshire District Medical Group
• Wilshire Endoscopy Center LLC

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 3, 2013; 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.