Individual provider Active NPI

Elise Hyeyoun Min, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1669761383
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A159791 Issued in CA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
A159791CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.