Active NPI
Cambridge Physicians Group
- Surgery Physician
- Beverly Hills, CA
National Provider Identifier
1972120194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CAMBRIDGE PHYSICIANS GROUP
- Practice address
- 435 N Roxbury Dr Ste 205
Beverly Hills, CA 90210-5004 - Phone
- (310) 275-2705
- NPI assigned
- Jul 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael K Obeng, MD
- Title
- Medical Director
- Phone
- (310) 275-2705
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Surgery Physician | 208600000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
435 N Roxbury Dr Ste 205
Beverly Hills, CA 90210-5004
Mailing address
435 N Roxbury Dr Ste 205
Beverly Hills, CA 90210-5004
Phone (310) 275-2705
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@mikoplasticsurgery.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593734400000",
"number": "1972120194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N ROXBURY DR STE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105004",
"telephone_number": "310-275-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N ROXBURY DR STE 205",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105004",
"telephone_number": "310-275-2705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE PHYSICIANS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A",
"authorized_official_last_name": "OBENG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-275-2705",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@mikoplasticsurgery.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "435 N Roxbury Dr Ste 205",
"city": "Beverly Hills",
"state": "CA",
"country_code": "US",
"postal_code": "902105004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 3, 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.