NPI Code Details Logo

NPI 1073390530

NPI 1073390530 : HAMILTON FACIAL PLASTIC SURGERY, INC. : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073390530
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HAMILTON FACIAL PLASTIC SURGERY, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/11/2023
-----------------------------------------------------
    Last Update Date     |    03/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5757 WILSHIRE BLVD STE PR2 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90036-3689
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-759-6409
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8605 SANTA MONICA BLVD # 990806 
-----------------------------------------------------
    City                 |    WEST HOLLYWOOD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90069-4109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    310-346-8980
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO/PHYSICIAN & SURGEON
-----------------------------------------------------
    Name                 |    DR. JASON SCOTT HAMILTON 
-----------------------------------------------------
    Credential           |    MD
-----------------------------------------------------
    Telephone            |    310-346-8980
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM2500X
-----------------------------------------------------
    Taxonomy Name        |    Medical Specialty Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.