Woodlake Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WOODLAKE SURGERY CENTER

Practice address

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

Phone

(310) 273-8885

Fax

(310) 273-8662

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Omidi, MD

Title

Ceo

Phone

(310) 308-9678

Specialties & licenses 1

Addresses

Other names 1

• cosmopolitan plastic and reconstructive surgery center Former legal business name

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922052133",
    "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": "WOODLAKE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMIDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-308-9678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cosmopolitan plastic and reconstructive surgery center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Peter Wolson, PH.D.
• Womens Care of Beverly Hills Medical Group
• Anthony Wong, MD
• Elizabeth Wong, C R N A
• Jon Wong, M.D.
• Glen Michael Wool, M.D.
• Garrett Worsey, DDS
• Beverly Ann Woss, DDS
• Wound Center Inc
• Wound Institute of America

• Ambulatory Surgical Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, 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 Aug 22, 2020; 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.