MEDICARE: SAMUEL GOLPANIAN PLASTIC SURGERY

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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1467336206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMUEL GOLPANIAN PLASTIC SURGERY

Provider Business Mailing Address
First Line	:	8929 WILSHIRE BLVD STE 400
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8929 WILSHIRE BLVD STE 400
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1953
Country	:	US
Telephone Number	:	424-383-8111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL GOLPANIAN
Credential	:	MD
Telephone Number	:	516-286-3697

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	12/17/2025

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