MEDICARE: HAHM COSMETIC SURGERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208600000X	Surgery Physician
3	363L00000X	Nurse Practitioner
4	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1154284966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAHM COSMETIC SURGERY LLC

Provider Business Mailing Address
First Line	:	3150 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1970
Country	:	US
Telephone Number	:	725-241-4246
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1970
Country	:	US
Telephone Number	:	725-241-4246
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	GEORGE HAHM
Credential	:	MD
Telephone Number	:	314-324-7392

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “HAHM COSMETIC SURGERY LLC ” Practice Location

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