Organization Active NPI

Rodeo Aesthetics, Inc.

  • Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1659847119
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RODEO AESTHETICS, INC.
Practice address
421 N Rodeo Dr Ste T13
Beverly Hills, CA 90210-4500
Phone
(424) 279-3230
Fax
(424) 256-0668
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Dr. Emil Kohan, MD
Title
Surgeon
Phone
(424) 279-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

421 N Rodeo Dr Ste T13
Beverly Hills, CA 90210-4500

Mailing address

421 N Rodeo Dr Ste T13
Beverly Hills, CA 90210-4500
Phone (424) 279-3230

Other names 1

  • RODEO AESTHETICS, INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

421 N Rodeo Dr
Ste T13
Beverly Hills, CA 90210
Phone (424) 279-3230

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1659847119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE T13",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104500",
            "telephone_number": "424-279-3230",
            "fax_number": "424-256-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE T13",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104500",
            "telephone_number": "424-279-3230",
            "fax_number": "424-256-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO AESTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "424-279-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODEO AESTHETICS, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 22, 2018; 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.