Cassileth Reconstructive Surgeons, INC
Surgery, Plastic and Reconstructive Surgery in Beverly Hills, CA. Organization (NPI-2).
NPI number1861979288
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1861979288
- Entity type
- Organization (NPI-2)
- Legal business name
- Cassileth Reconstructive Surgeons, INC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2018
- Certification date
- Feb 3, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
Practice location
436 N Bedford DrSuite 103
Beverly Hills, CA 90210-4323
Phone 310-278-8200 · Fax 424-202-3769
Mailing address
436 N Bedford DrSuite 103
Beverly Hills, CA 90210-4323
Phone 310-278-8200 · Fax 424-202-3769
Authorized official
Gregory Cassileth
Cfo
3102788200
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