Michael K. Obeng, MD, PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MICHAEL K. OBENG, MD, PA

Practice address

435 N Roxbury Dr
205
Beverly Hills, CA 90210-5027

Phone

(310) 275-2705

Fax

(310) 275-2701

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Stevuni Harrison

Title

Billing Manager

Phone

(909) 833-5852

Specialties & licenses 2

Addresses

Other names 1

• Miko Plastic Surgery Doing business as

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1962743013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-275-2705",
            "fax_number": "310-275-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR",
            "address_2": "205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105027",
            "telephone_number": "310-275-2705",
            "fax_number": "310-275-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. OBENG, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "STEVUNI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-833-5852"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miko Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Hannon MD PC
• Michael Ian Paul M.D.,a Professional Corporation
• Michael J Feldman MD Inc
• Michael J Soffer MD Inc
• Michael J. Whitman, a Psychological Corporation
• Michael K. Sachs, M.D.
• Michael Khorshidi DDS a Dental Corporation
• Michael P. Brousseau, MD, Inc.
• Michael Radparvar Medical Corporation
• Michael T Duffy MD Inc a Professional Corporation

• Plastic and Reconstructive Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.