Active NPI
Elise Hyeyoun Min, MD
- Plastic Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1669761383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A159791
- Practice address
- 416 N Bedford Dr Ste 206
Beverly Hills, CA 90210-4317 - Phone
- (310) 751-5183
- Fax
- (310) 817-6352
- NPI assigned
- Apr 4, 2011
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A159791 | CA | Primary |
Addresses
Primary practice location
416 N Bedford Dr Ste 206
Beverly Hills, CA 90210-4317
Mailing address
13636 Ventura Blvd Ste 224
Sherman Oaks, CA 91423-3700
Other names 1
- Miss Hyeyoun Min
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 12, 2023 through Jun 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A159791 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Min Beverly Hills Plastic Surgery, Inc | Current | Accepting new patients |
Locations
416 N Bedford Dr
Ste 206
Beverly Hills, CA 90210
Phone (310) 278-5025
13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Elise Min Plastic Surgery
- Medical Specialty Clinic/Center
- Beverly Hills, CA
- NPI 1689438160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1669761383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13636 VENTURA BLVD STE 224",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR STE 206",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104317",
"telephone_number": "310-751-5183",
"fax_number": "310-817-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIN",
"first_name": "ELISE",
"middle_name": "HYEYOUN",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A159791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HYEYOUN",
"last_name": "MIN",
"prefix": "MISS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beverly Hills, CA
- John Walter Millstine, M.D.
- Michele M Milovina, MD
- Rhonda Milrad, LCSW
- Lana L Milton, MD
- Min Beverly Hills Plastic Surgery, Inc (Elise Min Plastic Surgery)
- Ji Eun Min
- Cayla Minaiy, PH.D, LMFT
- Elin Minassian
- Mind Body Wellness Cebter (Mind Body Acupuncture and Herbs)
- Mind Body Wellness Center (Mind Body Acupuncture)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.