Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Cosmetic & Plastic Surgery

Organization Specialist · NPI 1437399250

Advanced Cosmetic & Plastic Surgery is a Specialist in Fridley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in
MN
In the registry since
2009

Practice location Address checks out

500 Osborne Rd NE Ste 130
Fridley, MN 55432-2765
Phone: (763) 780-2770
Fax: (763) 780-2812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 23415 (MN)

Record details

NPI number1437399250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fereydoon Mahjouri — Owner/Md · (763) 780-2770
NPI enumeratedMarch 6, 2009
Last updated in NPPESJuly 10, 2009
Mailing address500 Osborne Rd Ne, Suite 130, Fridley, MN 55432-2765

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