Shonan Beauty Clinic Beverly Hills, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SHONAN BEAUTY CLINIC BEVERLY HILLS, INC.

Doing business as

Shonan Beauty Clinic Surgery Center

Practice address

425 Haaland Drive
Suite 100
Thousand Oaks, CA 91361-5229

Phone

(805) 723-8008

Fax

(805) 852-2675

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

James Paul Watson, M.D.

Title

Medical Director

Phone

(805) 723-8008

Specialties & licenses 3

Addresses

Other names 1

• Shonan Beauty Clinic Surgery Center Doing business as

Locations

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1669977021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DRIVE",
            "address_2": "SUITE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-723-8008",
            "fax_number": "805-852-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DRIVE",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-723-8008",
            "fax_number": "805-852-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHONAN BEAUTY CLINIC BEVERLY HILLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-723-8008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shonan Beauty Clinic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hyun Kim Shin
• Woochan Shin
• Joanne Shinozaki, D.V.M.
• David Esmall Shirazi, D.D.S.
• Ava Shokoufi, LMFT
• Lisa Shriber, MS
• Emily Shulman
• Karen Shurtz, M.A., LMFT
• Richard Logan Shurtz, LMFT
• Marina Sidarous, BA

• Ambulatory Surgical Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.