MEDICARE: RITZ MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1235935628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITZ MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	515 SOUTH FLOWER ST 18TH FL
Second Line	:	SUITE# 1914
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-2201
Country	:	US
Telephone Number	:	310-748-8142
Fax Number	:	310-388-1480

Provider Business Practice Location Address
First Line	:	515 SOUTH FLOWER ST 18TH FL
Second Line	:	SUITE# 1914
City	:	LOS ANGELES
State	:	CA
Zip	:	90071-2201
Country	:	US
Telephone Number	:	310-748-8142
Fax Number	:	310-388-1480

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	ARMEN TITIZYAN
Credential	:	NP
Telephone Number	:	310-748-8142

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	09/11/2025

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