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NPI Code Detail

MEDICARE: BEVERLY HILLS AESTHETIC SURGICAL INSTITUTE INC.

MEDICARE: BEVERLY HILLS AESTHETIC SURGICAL INSTITUTE INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA061184CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A061184OTHERCALICENSE NUMBER

General Provider Information

NPI Number : 1639195035
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEVERLY HILLS AESTHETIC SURGICAL INSTITUTE INC.
Provider Business Mailing Address
First Line : 311 N ROBERTSON BLVD # 240
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1705
Country : US
Telephone Number : 310-247-9090
Fax Number : 310-247-9080
Provider Business Practice Location Address
First Line : 435 N ROXBURY DR STE 200
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90210-5004
Country : US
Telephone Number : 310-247-9090
Fax Number : 310-247-9080
Authorized Official
Title or Position : PRESIDENT
Name : DR. DARYOUSH DAVID SAADAT
Credential : M.D.
Telephone Number : 310-247-9090
Provider Enumeration Date : 07/15/2006
Last Update Date : 06/24/2026

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