DERMATOLOGY AND LASER MEDICAL CENTER, INC


Address: 16260 Ventura Blvd, Ste 140, Encino, CA 91436-2203
Phone: 8185282500

DERMATOLOGY AND LASER MEDICAL CENTER, INC (NPI# 1366744724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366744724
Entity Type Organization
Organization Name DERMATOLOGY AND LASER MEDICAL CENTER, INC
Practice Address 16260 Ventura Blvd
Ste 140
Encino
CA 91436-2203
Mailing Address 2980 N Beverly Glen Cir
Ste 301
Los Angeles
CA 90077-1726
Practice Telephone 8185282500
Mailing Telephone 3104749809
Enumeration Date 2010-11-17
Last Update Date 2011-03-01
Authorized Official Name ALEX KHADAVI (OWNER)
Authorized Official Telephone 8185282500
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name DERMATOLOGY AND LASER MEDICAL CENTER, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Office Location

Street Address 16260 VENTURA BLVD
STE 140
City ENCINO
State CA
Zip Code 91436-2203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548254659 Advanced Sleep Medicine Services Inc Clinic/Center 16260 Ventura Blvd, Suite 700, Encino, CA 91436-2203 2005-09-02
1003452863 Gelbert G De Guzman Occupational Therapy Assistant 16260 Ventura Blvd, Encino, CA 91436-2203 2019-11-26
1700376571 Ardeshir Pooshpas Nurse Practitioner 16260 Ventura Blvd, Encino, CA 91436 2018-05-16
1497270987 Anastasia Andrew Family Medicine 16260 Ventura Blvd, Encino, CA 91436-2203 2017-08-07
1487101069 Great Beginnings Surgery Center LLC Clinic/Center 16260 Ventura Blvd, Suite 220, Encino, CA 91436 2016-09-01
1205287364 Western Fertility Institute, LLC Specialist 16260 Ventura Blvd, 210, Encino, CA 91436-2203 2016-06-29
1841640083 South Pacific Rehab Services Skilled Nursing Facility 16260 Ventura Blvd, Suite 60, Encino, CA 91436-2203 2016-06-19
1982052684 Lia Gedamu Nurse Practitioner 16260 Ventura Blvd, Ll-15, Encino, CA 91436-2203 2016-06-03
1477917375 Felecia Brown Occupational Therapist 16260 Ventura Blvd, 600, Encino, CA 91436-2203 2016-04-07
1548621709 Sara Hoffman Occupational Therapist 16260 Ventura Blvd, Encino, CA 91436-2203 2016-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801405014 Find Your Balance, Center for Growth & Change Inc. Marriage & Family Therapist 15720 Ventura Blvd Suite 603, Encino, CA 91436 2020-07-24
1396214482 Maria Guadalupe Cruz Behavior Technician 16500 Ventura Blvd # 414, Encino, CA 91436 2018-11-19
1699277186 Rodolfo Alavez Jimenez Behavior Technician 16500 Ventura Blvd., Suite 414, Encino, CA 91436 2018-03-01
1750891503 Robert James Kim-farley Preventive Medicine 4037 Rogen Drive, Encino, CA 91436 2017-10-06
1528577871 Julia Szpakiewicz Marriage & Family Therapist 16550 Ventura Blvd 318, Encino, CA 91436 2017-09-28
1457875452 Jeffrey Proniloff Dentist 16680 Ashley Oaks, Encino, CA 91436 2017-08-01
1114449592 Loren Lizeth Huerta Specialist/Technologist 16500 Ventura Blvd #414, Encino, CA 91436 2017-07-07
1538619838 Gilbert Torres Jr. Physical Therapist 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 2016-10-11
1417313529 Nancy L Reynolds Marriage & Family Therapist 16055 Ventura Blvd #409, Encino, CA 91436 2016-01-05
1457716748 Salvador Salgado Behavioral Analyst 16500 Ventura Blvd. Suite 414, Encino, CA 91436 2015-12-31
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235680802 Wizard of Eyes Optical Non-Pharmacy Dispensing Site 17205 Ventura Blvd Unit A, Encino, CA 91316-4007 2016-10-19
1912277625 Drx Pro, Inc Non-Pharmacy Dispensing Site 16530 Ventura Blvd Ste 411, Encino, CA 91436-5061 2012-01-11
1508135484 Jeffrey B. Glaser, M.d., Medical Corporation Non-Pharmacy Dispensing Site 16311 Ventura Blvd, Suite 775, Encino, CA 91436-2124 2011-12-21
1356628002 Glenna Tolbert, Md, A Medical Corporation Non-Pharmacy Dispensing Site 17609 Ventura Blvd, Suite 114, Encino, CA 91316-3858 2011-11-09
1497058432 Michael J. Hollander, M.d., Inc. Non-Pharmacy Dispensing Site 16030 Ventura Blvd, Suite 400, Encino, CA 91436-2731 2010-12-14
1548570054 Shiraz Medical Group, Inc Non-Pharmacy Dispensing Site 16952 Ventura Blvd, Encino, CA 91316-4197 2010-10-18
1861701021 Keyvan Shirazi, Md Non-Pharmacy Dispensing Site 16952 Ventura Blvd, Suite 100, Encino, CA 91316-4197 2010-10-05
1477862985 Keyvan Shirazi, Md Non-Pharmacy Dispensing Site 16952 Ventura Blvd, Suite 100, Encino, CA 91316-4197 2010-09-30

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1790327732 Triumph Specialties LLC Non-Pharmacy Dispensing Site 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 2019-10-10
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1376030080 Jane F Kardashian Md Inc Non-Pharmacy Dispensing Site 6769 N Fresno, Fresno, CA 93710 2018-04-18
1023511045 Performance Health Medical Group Non-Pharmacy Dispensing Site 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 2018-03-15
1043719206 Southern California Orthopedic Institute L.p Non-Pharmacy Dispensing Site 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 2018-02-02
1174032353 Golden Gate Urology, Inc. Non-Pharmacy Dispensing Site 139 Townsend St Ste 100, San Francisco, CA 94107-1946 2017-09-20
1215462080 Mas Management Group, Inc. Non-Pharmacy Dispensing Site 28446 Constellation Rd, Valencia, CA 91355-5081 2017-04-28
1730624719 St. John's Well Child and Family Center Inc Non-Pharmacy Dispensing Site 326 W 23rd St, Los Angeles, CA 90007-2612 2016-12-29
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Competitor

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City ENCINO
Zip Code 91436

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Dataset Information

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.

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