REVERSE AGING CENTRE (NPI# 1306203237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306203237 |
| Entity Type | Organization |
| Organization Name | REVERSE AGING CENTRE |
| Practice Address |
455 N Roxbury Dr Beverly Hills CA 90210-5001 |
| Practice Telephone | 3102731166 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | DR. MAX SAWAF (CHAIRMAN AND CEO) |
| Authorized Official Telephone | 3102731166 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
AS1422651 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
455 N ROXBURY DR |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538106752 | Beverly Radiology Medical Group | Radiology | 455 N Roxbury Dr, Beverly Hills, CA 90210-5001 | 2006-05-31 |
| 1609368570 | Daniel Ranchez Anesthesia A Nursing Corporation | Nurse Anesthetist, Certified Registered | 455 N Roxbury Dr, Beverly Hills, CA 90210-5001 | 2018-06-05 |
| 1124478185 | Wellness Wave LLC | Clinic/Center | 455 N Roxbury Dr, Beverly Hills, CA 90210-5001 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1619355757 | Justin E Rome Md PC | Surgery | 256 S La Cienega Blvd, Beverly Hills, CA 90211-3302 | 2015-05-08 |
| 1124140355 | Gabriel Ham-chang Chiu Jr. | Surgery | 9454 Wilshire Blvd, Ground Floor #108, Beverly Hills, CA 90212-2929 | 2007-04-06 |
| 1346371929 | Dennis Dass | Surgery | 8929 Wilshire Blvd Ste 420, Beverly Hills, CA 90211-1953 | 2007-03-08 |
| 1891854915 | Ryan Andrew Stanton | Surgery | 9090 Burton Way, Beverly Hills, CA 90211 | 2006-12-06 |
| 1144301748 | Farid Afra | Surgery | 450 Trousdale Pl, Beverly Hills, CA 90210-1904 | 2006-10-18 |
| 1467076885 | Amy Maria York | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2020-06-01 |
| 1053960591 | Samer Alnajjar, M.d., Inc. | Surgery | 465 N Roxbury Dr Ste 1020, Beverly Hills, CA 90210-4213 | 2019-09-07 |
| 1861979288 | Cassileth Recontructive Surgeons, Inc | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2018-07-27 |
| 1265920672 | Andrew T Cohen A Medical Corporation | Surgery | 9400 Brighton Way Ste 201, Beverly Hills, CA 90210-4709 | 2018-05-01 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
Please comment or provide details below to improve the information on REVERSE AGING CENTRE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.