Healthcare Provider Details

I. General information

NPI: 1679886576
Provider Name (Legal Business Name): DAVID K. ISAACS M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 N LINDEN DR STE 250
BEVERLY HILLS CA
90212-2203
US

IV. Provider business mailing address

462 N LINDEN DR STE 250
BEVERLY HILLS CA
90212-2203
US

V. Phone/Fax

Practice location:
  • Phone: 310-310-2074
  • Fax:
Mailing address:
  • Phone: 310-310-2074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA113129
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberA113129
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberA113129
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: