NPIMap

Organization Active NPI

Skin Cancer&Reconstructive Surgery Specialists of Beverly Hills

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1841480332
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A84519 Issued in CA
Legal business name
SKIN CANCER&RECONSTRUCTIVE SURGERY SPECIALISTS OF BEVERLY HILLS
Doing business as
skin cancer&reconstructive surgery specialists of beverly hills
Practice address
9001 Wilshire Blvd
Suite 106
Beverly Hills, CA 90211-1838
Phone
(310) 273-8885
Fax
(310) 273-8662
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Michael M Omidi, M.D.
Title
Owner
Phone
(310) 273-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A84519 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd
Suite 106
Beverly Hills, CA 90211-1838

Mailing address

9001 Wilshire Blvd
Suite 106
Beverly Hills, CA 90211-1838
Phone (310) 273-8885

Other names 1

  • skin cancer&reconstructive surgery specialists of beverly hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Skin Cancer and Reconstructive Surgery Specialist of Beverly Hills3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1841480332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-273-8885",
            "fax_number": "310-273-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "SUITE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-273-8885",
            "fax_number": "310-273-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER&RECONSTRUCTIVE SURGERY SPECIALISTS OF BEVERLY HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "OMIDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-273-8885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A84519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "skin cancer&reconstructive surgery specialists of beverly hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2007; 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.