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

Reconstructive Surgery Specialists of Southern California

Organization Specialist · NPI 1205061090

Reconstructive Surgery Specialists of Southern California is a Specialist in Beverly Hills, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

9001 Wilshire Blvd 106
Beverly Hills, CA 90211-1838
Phone: (310) 273-8849
Fax: (866) 664-7321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A84519 (CA)

Record details

NPI number1205061090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Omidi — Owner · (310) 273-8849
Other names Reconstructive Surgery Specialists Of Southern California
NPI enumeratedMay 21, 2009
Last updated in NPPESMay 21, 2009
Mailing address9001 Wilshire Blvd, 106, Beverly Hills, CA 90211-1838

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