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Deactivated NPI 1447472733 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Ellenbogen , MD

Plastic Surgery • Los Angeles, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Ellenbogen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2007
NPI Deactivation Date February 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Ellenbogen, MD was a registered Plastic Surgery practicing in Los Angeles, CA. Throughout an active medical career spanning 17 years, Dr. Ellenbogen provided care at the practice location at 9201 SUNSET BLVD until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

9201 Sunset Blvd
Suite 202

Los Angeles, CA 90069

Telephone 3102763183
Fax 3102769154
Associated Practice Facility / Clinic
🏢 Thang Q Le Md Incorporated Facility NPI 1174621353

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
76 Specialists

Practicing in Los Angeles, CA (941 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License CA G31078

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Gary Motykie , MD

Plastic Surgery

NPI 1194938746

Doctor of Medicine (M.D.)

NPI 1275716805

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

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Updated Practice Location September 08, 2020

Registered at 2101 HIGHLAND AVE, UNIT B, MANHATTAN BEACH, CA 90266 (Tel: 3233269816)

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Updated Business Mailing Address September 08, 2020

Registered at 2101 HIGHLAND AVE, UNIT B, MANHATTAN BEACH, CA 90266 (Tel: 3233269816)

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Provider Name / Credentials Updated September 08, 2020

Recorded as RICHARD ELLENBOGEN, M.D.

NPI Profile Active August 17, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2015

Registered at 9201 SUNSET BLVD, SUITE 202, LOS ANGELES, CA 90069 (Tel: 3102763183)

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Updated Business Mailing Address August 17, 2015

Registered at 2080 CENTURY PARK E STE 501, LOS ANGELES, CA 900672008 (Tel: 3102763183)

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Provider Name / Credentials Updated August 17, 2015

Recorded as RICHARD ELLENBOGEN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2015

Plastic Surgery (License #G31078 in CA)

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Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447472733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: August 17, 2015
Deactivation Date: February 28, 2024

Mailing Address

2080 Century Park E Ste 501

Los Angeles, CA 900672008

Phone: 3102763183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.