Lawrence Mark Koplin, M.D.,F.A.C.S

Primary specialty

SpecialistTaxonomy code 174400000X

License

G035647 Issued in CA

Practice address

465 North Roxbury Drive
Suite 800
Beverly Hills, CA 90210-4211

Phone

(310) 277-3223

Fax

(310) 278-9138

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roxsan Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1467535518
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1619002698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NORTH ROXBURY DRIVE",
            "address_2": "SUITE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-277-3223",
            "fax_number": "310-278-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NORTH ROXBURY DRIVE",
            "address_2": "SUITE 800",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104211",
            "telephone_number": "310-277-3223",
            "fax_number": "310-278-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPLIN",
        "first_name": "LAWRENCE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G035647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deeba Kohi, PA
• Matthew Blake Kollefrath, M.D.
• Celia Kong, PA-C
• Dianne Kong
• Peter L Kopelson, MD
• Rita Kornfeld
• John G Kornhandler, PHD MFT
• Karen Sue Kornreich, MD
• Mahathi Doraiswamy Kosuri
• Reyna Kot, LMFT

• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.