Healthcare Provider Details

I. General information

NPI: 1205750288
Provider Name (Legal Business Name): PRECISION SURGERY GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N BEDFORD DR STE 206
BEVERLY HILLS CA
90210-4350
US

IV. Provider business mailing address

435 N BEDFORD DR STE 206
BEVERLY HILLS CA
90210-4350
US

V. Phone/Fax

Practice location:
  • Phone: 424-437-3200
  • Fax: 424-328-5898
Mailing address:
  • Phone: 424-437-3200
  • Fax: 424-328-5898

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: DR. ANDRE PAUL MARSHALL
Title or Position: OWNER
Credential: MD
Phone: 424-437-3200