Healthcare Provider Details

I. General information

NPI: 1962358747
Provider Name (Legal Business Name): BEVERLY HILLS AESTHETIC MEDICINE AND SURGERY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N BEDFORD DR STE 221
BEVERLY HILLS CA
90210-4310
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 990806
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 310-759-6409
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON HAMILTON
Title or Position: OWNER
Credential: MD
Phone: 310-759-6409