Active NPI
Plastic and Reconstructive Care, LLC
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1962979484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- PLASTIC AND RECONSTRUCTIVE CARE, LLC
- Practice address
- 9735 Wilshire Blvd PH
Beverly Hills, CA 90212-2104 - Phone
- (310) 860-8915
- NPI assigned
- Nov 2, 2018
- Organization subpart
- Yes
- Parent organization
- LEIF L. ROGERS, MD,LLC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mike Romagnoli
- Title
- Manager
- Phone
- (310) 801-6741
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X |
Addresses
Primary practice location
9735 Wilshire Blvd PH
Beverly Hills, CA 90212-2104
Mailing address
3505 Alma Ave
Manhattan Beach, CA 90266-3330
Phone (310) 801-6741
National Provider Directory
National Provider Directory- Part of
- Leif L Rogers Mdllc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Beverly Hills, CA
- NPI 1407948722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1962979484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 ALMA AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663330",
"telephone_number": "310-801-6741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9735 WILSHIRE BLVD PH",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122104",
"telephone_number": "310-860-8915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC AND RECONSTRUCTIVE CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEIF L. ROGERS, MD,LLC.",
"enumeration_date": "2018-11-02",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "ROMAGNOLI",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "310-801-6741",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Pismo Wellness Inc., a Professional Medical Corporation
- Howard Elliot Pitchon, MD
- Pivotal Diagnostics, LLC
- Daryn Plancher, PH.D.,
- Planet Pharmacy Inc
- Plastic Surgery and Wound Consultants
- Plastic Surgery Practice at Beverly Hills, PC
- Platinum Surgical Center
- PLBC Medical Group, Inc
- Deborah Pliver, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.