DR. BRENT R.W. MOELLEKEN (NPI# 1851472534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851472534 |
| Entity Type | Individual |
| Full Name | DR. BRENT R.W. MOELLEKEN |
| Credential | M.D. |
| Practice Address |
120 S Spalding Dr Ste 340 Beverly Hills CA 90212-1841 |
| Mailing Address |
545 S Plymouth Blvd Los Angeles CA 90020-4709 |
| Practice Telephone | 3102731001 |
| Practice Fax Number | 3102054881 |
| Mailing Telephone | 3102731001 |
| Mailing Fax Number | 3102054881 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G059781 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
120 S SPALDING DR STE 340 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189710 | Bethany Chaves | Physician Assistant | 120 S Spalding Dr Ste 340, Beverly Hills, CA 90212-1841 | 2018-06-23 |
| 1689027310 | Johnson C. Lee, Md Plastic Surgery Inc. | Surgery | 120 S Spalding Dr Ste 340, Beverly Hills, CA 90212-1841 | 2016-07-18 |
| 1982922902 | Karan Dhir M.d. P.C. | Otolaryngology | 120 S Spalding Dr Ste 340, Beverly Hills, CA 90212-1841 | 2010-05-14 |
| 1336300813 | Karan Dhir | Otolaryngology | 120 S Spalding Dr Ste 340, Beverly Hills, CA 90212-1841 | 2008-06-18 |
| 1205980448 | William Jay Binder | Plastic Surgery | 120 S Spalding Dr Ste 340, Beverly Hills, CA 90212-1841 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644366 | Joubin S. Gabbay Md Inc | Plastic Surgery | 9663 Santa Monica Blvd # 154, Beverly Hills, CA 90210-4303 | 2016-04-21 |
| 1295195642 | Sap Reconstructive Surgery Inc | Plastic Surgery | 3060 Deep Canyon Dr, Beverly Hills, CA 90210-1043 | 2016-02-28 |
| 1912263641 | Warren M. Lent Md Inc | Plastic Surgery | 150 N Robertson Blvd Ste 140, Beverly Hills, CA 90211-2143 | 2012-04-06 |
| 1881987832 | Omar Nomaan Hussain | Plastic Surgery | 8907 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1928 | 2011-05-24 |
| 1316260953 | Daniel Barrett | Plastic Surgery | 9701 Wilshire Blvd Ste Ml1, Beverly Hills, CA 90212 | 2010-03-10 |
| 1093038135 | John Fu-tsun Hsu | Plastic Surgery | 416 N Bedford Dr Ste 100, Beverly Hills, CA 90210-4308 | 2010-03-03 |
| 1699938225 | Shahrokh Jimmy Firouz | Plastic Surgery | 416 N Bedford Dr Ste 310, Beverly Hills, CA 90210-4309 | 2008-07-03 |
| 1588823181 | Payam Jarrahnejad | Plastic Surgery | 465 N Roxbury Dr Ste 1017, Beverly Hills, CA 90210-4213 | 2008-06-09 |
| 1770759177 | Amir H Tahernia | Plastic Surgery | 145 N Robertson Blvd, Beverly Hills, CA 90211 | 2008-05-06 |
| 1154597417 | Ronald P. Chao | Plastic Surgery | 240 N Crescent Dr Apt 104, Beverly Hills, CA 90210-4829 | 2008-05-06 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
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| 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.