OrganizationActive
Modern Intitute of Plastic Surgery & Anti-Aging
NPI 1003090978 · Ambulatory Surgical Clinic/Center · Beverly Hills, CA
Provider details
- NPI number
- 1003090978
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Stanton, Medical Director(310) 278-0077
- License
- C2780128 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9090 Burton Way
Beverly Hills, CA 90211-1661
Phone: (310) 278-0077
Street-level locationGet directions
Mailing address
9090 Burton Way
Beverly Hills, CA 90211-1661
Registry dates
- Enumerated
- 2007-12-27
- Last updated
- 2013-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.