ELITE PLASTIC SURGERY
NPI 1760924005
Clinic/Center - Ambulatory Surgical in Los Angeles, CA
About Elite Plastic Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE PLASTIC SURGERY (NPI 1760924005) is a healthcare organization registered as an ambulatory surgical in Los Angeles, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Keeneth B Hughes, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2100839
Elite Plastic Surgery, Inc. · Los Angeles, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elite Plastic Surgery's NPI number?
The NPI number for Elite Plastic Surgery is 1760924005. It was assigned to this organization in the NPPES registry on November 16, 2016.
Where is Elite Plastic Surgery located?
Elite Plastic Surgery is located at 12732 W Washington Blvd Ste B, Los Angeles, CA 90066. The listed phone number is (310) 275-4170.
What is Elite Plastic Surgery's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Elite Plastic Surgery hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2100839) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Elite Plastic Surgery was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elite Plastic Surgery · NPI 1760924005
Ambulatory Surgical organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since November 16, 2016.
## Identity
- **NPI:** 1760924005 (Entity type: Organization)
- **Enumerated:** November 16, 2016
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Keeneth Hughes, MEDICAL DIRECTOR
## Practice location
- **Address:** 12732 W WASHINGTON BLVD STE B, Los Angeles, CA 90066-2378
- **Phone:** (310) 275-4170
## Record status
- **NPPES last updated:** November 16, 2016
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1760924005) · Data from the CMS NPPES public registry.