# RODEO DRIVE PLASTIC SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rodeo Drive Outpatient Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114078342
- **Authorized official:** DR. LLOYD M. KRIEGER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 550-6300

## Contact information

- **Practice address:** 421 N RODEO DR, BEVERLY HILLS, CA 90210-4536
- **Practice address phone:** (310) 550-6300
- **Practice address fax:** (310) 550-6363
- **Mailing address:** 421 N RODEO DR, BEVERLY HILLS, CA 90210-4536
- **Mailing address phone:** (310) 550-6300
- **Mailing address fax:** (310) 550-6363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 03/11/2009