MEDICARE: OCEAN PLASTIC SURGERY CENTER

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	:	1780538223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN PLASTIC SURGERY CENTER

Provider Business Mailing Address
First Line	:	10921 CHERRY ST STE 200
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2473
Country	:	US
Telephone Number	:	562-594-5996
Fax Number	:

Provider Business Practice Location Address
First Line	:	10921 CHERRY ST STE 200
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2473
Country	:	US
Telephone Number	:	562-594-5996
Fax Number	:

Authorized Official
Title or Position	:	PLASTIC SURGEON
Name	:	RAMAN MEHRZAD
Credential	:	MD, MHL, MBA
Telephone Number	:	774-240-0060

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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