MEDICARE: MR. BRUCE B KADZ M.D

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
1	208200000X	Plastic Surgery Physician	C2864313	CA

General Provider Information

NPI Number	:	1922209857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRUCE B KADZ M.D

Provider Business Mailing Address
First Line	:	436 N BEDFORD DR STE 201
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4312
Country	:	US
Telephone Number	:	310-276-3662
Fax Number	:	310-276-7049

Provider Business Practice Location Address
First Line	:	436 N BEDFORD DR STE 201
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4312
Country	:	US
Telephone Number	:	310-276-3662
Fax Number	:	310-276-7049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	03/18/2025

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