Healthcare Provider Details

I. General information

NPI: 1013859479
Provider Name (Legal Business Name): PEDRAM GOEL MD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 N LINDEN DR
BEVERLY HILLS CA
90210-3221
US

IV. Provider business mailing address

519 N LINDEN DR
BEVERLY HILLS CA
90210-3221
US

V. Phone/Fax

Practice location:
  • Phone: 818-919-0073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PEDRAM GOEL
Title or Position: DIRECTOR
Credential: MD
Phone: 818-919-0073