Healthcare Provider Details

I. General information

NPI: 1881505055
Provider Name (Legal Business Name): BRUCE B. KADZ, M.D. A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N BEDFORD DR STE 201
BEVERLY HILLS CA
90210-4312
US

IV. Provider business mailing address

436 N BEDFORD DR STE 201
BEVERLY HILLS CA
90210-4312
US

V. Phone/Fax

Practice location:
  • Phone: 310-276-3662
  • Fax:
Mailing address:
  • Phone: 310-276-3662
  • 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: DR. BRUCE B KADZ
Title or Position: OWNER
Credential: MD
Phone: 310-420-2090