Organization Active NPI

Truesdale Facial Plastic Surgery Inc

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Beverly Hills, CA
National Provider Identifier
1639843113
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
TRUESDALE FACIAL PLASTIC SURGERY INC
Practice address
150 S Rodeo Dr Ste 360
Beverly Hills, CA 90212-2445
Phone
(424) 210-5498
NPI assigned
Aug 6, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Carl TruesdaleNPI 1154705028
Title
Owner
Phone
(424) 210-5498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

150 S Rodeo Dr Ste 360
Beverly Hills, CA 90212-2445

Mailing address

3441 Alsace Ave
Los Angeles, CA 90016-5209
Phone (424) 210-5498

National Provider Directory

National Provider Directory

Locations

150 S Rodeo Dr
Ste 360
Beverly Hills, CA 90212
Phone (213) 342-7572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1639843113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 ALSACE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165209",
            "telephone_number": "424-210-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S RODEO DR STE 360",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122445",
            "telephone_number": "424-210-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUESDALE FACIAL PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "TRUESDALE",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-210-5498"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 6, 2021; 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.