Active NPI
Andre Aboolian M D a Professional Medical Corporation
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1578770426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A81347
- Legal business name
- ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 120 South Spalding Drive
#200
Beverly Hills, CA 90212 - Phone
- (310) 888-8862
- Fax
- (310) 888-8711
- NPI assigned
- May 17, 2007
- Organization subpart
- Yes
- Parent organization
- ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andre Aboolian, M.D.
- Title
- Owner
- Phone
- (310) 888-8862
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A81347 | CA | Primary |
| Medical Specialty Clinic/Center | 261QM2500X | A81347 | CA |
Addresses
Primary practice location
120 South Spalding Drive
#200
Beverly Hills, CA 90212
Mailing address
1146 North Central Ave
#101
Glendale, CA 91202
Phone (310) 888-8862
National Provider Directory
National Provider Directory- Part of
- Andre Aboolian M D a Professional Medical Corporation
Locations
120 S Spalding Dr
Ste 233
Beverly Hills, CA 90212
Phone (310) 888-8862
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Beverly Hills, CA
- NPI 1407628027
-
- Family Nurse Practitioner
- Beverly Hills, CA
- NPI 1881446508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1578770426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 NORTH CENTRAL AVE",
"address_2": "#101",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91202",
"telephone_number": "310-888-8862",
"fax_number": "310-888-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTH SPALDING DRIVE",
"address_2": "#200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-888-8862",
"fax_number": "310-888-8711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANDRE ABOOLIAN M D A PROFESSIONAL MEDICAL CORPORATION",
"enumeration_date": "2007-05-17",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A",
"authorized_official_last_name": "ABOOLIAN",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-888-8862",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A81347",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A81347",
"primary": false
}
],
"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 May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.