Healthcare Provider Details

I. General information

NPI: 1073390530
Provider Name (Legal Business Name): HAMILTON FACIAL PLASTIC SURGERY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 WILSHIRE BLVD STE PR2
LOS ANGELES CA
90036-3689
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: 310-346-8980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON SCOTT HAMILTON
Title or Position: CEO/PHYSICIAN & SURGEON
Credential: MD
Phone: 310-346-8980