PALOS VERDES SKIN SURGERY CTR INC (NPI# 1285028803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285028803 |
Entity Type | Organization |
Organization Name | PALOS VERDES SKIN SURGERY CTR INC |
Other Organization Name | PALOS VERDES DERMATOLOGY SURGERY CENTER, INC. |
Practice Address |
550 Deep Valley Dr Suite 283 Rolling Hills Estates CA 90274-3664 |
Practice Telephone | 3105417800 |
Practice Fax Number | 3105417808 |
Mailing Telephone | 3105417800 |
Mailing Fax Number | 3105417808 |
Enumeration Date | 2015-03-20 |
Last Update Date | 2015-06-15 |
Authorized Official Name | DR. HOWARD FEIN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 3105417800 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Palos Verdes Dermatology Surgery Center, Inc. | Doing Business As Name - Organization |
Street Address |
550 DEEP VALLEY DR SUITE 283 |
City | ROLLING HILLS ESTATES |
State | CA |
Zip Code | 90274-3664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669411542 | Laurence K Gorlick | Internal Medicine | 550 Deep Valley Dr, Suite 319, Rolling Hills Estates, CA 90274-3664 | 2006-06-06 |
1326514811 | Anthony Ray Waters | Physical Therapist | 550 Deep Valley Dr, Rolling Hills Estates, CA 90274-3664 | 2018-10-23 |
1740523554 | Ching-yueh Hsu | Naturopath | 550 Deep Valley Dr, Ste 266, Rolling Hills Estates, CA 90274-3664 | 2013-03-29 |
1881991859 | Kristina Brown | Chiropractor | 550 Deep Valley Dr, Suite 281, Rolling Hills Estates, CA 90274-3664 | 2011-02-28 |
1992001200 | Jonathan Lo D.d.s., Inc. | Dentist | 550 Deep Valley Dr, Suite 345, Rolling Hills Estates, CA 90274-3664 | 2011-02-03 |
1871722108 | Peninsula Physical Therapy Inc. | Physical Therapist | 550 Deep Valley Dr, Ste 297, Rolling Hills Estates, CA 90274-3664 | 2009-07-08 |
1508065111 | Erica Rutman Brown | Physician Assistant | 550 Deep Valley Dr, Suite 287, Rolling Hills Estates, CA 90274-3664 | 2007-07-13 |
1063622371 | Jonathan H Lo | Dentist | 550 Deep Valley Dr, Suite 345, Rolling Hills Estates, CA 90274-3664 | 2007-05-23 |
1831302017 | Lawrence D. Sher, M.d., Inc. | Pediatrics | 550 Deep Valley Dr, Suite 319, Rolling Hills Estates, CA 90274-3664 | 2007-05-07 |
1154543825 | Palos Verdes Skin Surgery Center Inc. | Dermatology | 550 Deep Valley Dr, Suite 287 Pv Dermatology, Rolling Hills Estates, CA 90274 | 2007-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689297871 | Hearts Respond | Counselor | 336 Tejon Place, Palos Verdes Estates, CA 90274 | 2020-05-21 |
1649781568 | Daniel B Lyman | Acupuncturist | 46-e Peninsula Center Dr., #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
1811408735 | Shawna Hagerty Regan | Acupuncturist | 46-e Peninsula Center #394, Rolling Hills Estates, CA 90274 | 2017-10-18 |
1588188262 | Bassi Psychological Services Inc | Psychologist | 4030 Palos Verdes Dr. N. Suite 106, Rolling Hills Estates, CA 90274 | 2017-08-03 |
1144674433 | O.r. Barkhordar Dds Inc | Dentist | 1600 W. Redondo Beach Blvd, Ste 203, Gardena, CA 90274 | 2016-04-22 |
1962871657 | Melissa Eichel | Counselor | 12 Pinto Lane, Rolling Hills Estates, CA 90274 | 2015-09-23 |
1336414556 | Harold Cozen | Family Medicine | 1600 Cataluna Place, Pacos Verdes Estates, CA 90274 | 2012-03-21 |
1780904540 | Byungwoo Kim | Acupuncturist | Peninsula Center. Ste 50 D, Rolling Hills Estates, CA 90274 | 2010-06-03 |
1285966135 | Paula R. Horn | Marriage & Family Therapist | 715 Silver Spur Road, Suite #209, Rolling Hills Estates, CA 90274 | 2010-02-03 |
1730416884 | Skinner's Pharmacy Inc | Pharmacy | 905 Deep Valeey Drive, Rollong Hills, CA 90274 | 2009-11-11 |
Find all providers in zip 90274 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
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1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
Find all providers with the same taxonomy |
City | ROLLING HILLS ESTATES |
Zip Code | 90274 |
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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.