MEDICARE: BEVERLY HILLS AESTHETIC MEDICINE AND SURGERY, PC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1962358747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEVERLY HILLS AESTHETIC MEDICINE AND SURGERY, PC

Provider Business Mailing Address
First Line	:	8605 SANTA MONICA BLVD # 990806
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90069-4109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 N BEDFORD DR STE 221
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4310
Country	:	US
Telephone Number	:	310-759-6409
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON HAMILTON
Credential	:	MD
Telephone Number	:	310-759-6409

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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