SOUTHERN CALIFORNIA SKIN AND LASER is a specialist in Laguna Hills, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA SKIN AND LASER NPI is 1225227333. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
22972 MOULTON PKWY STE 106
LAGUNA HILLS, CA
ZIP 92653-219
Phone: (949) 707-5734
Fax: (949) 707-1924
The provider's authorized official is Tanya Y Evans .
The authorized official title is Medical Director and has the following contact phone number (949) 707-5734.
The CLIA number assigned to this NPI record is 05D1060575 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/15/2007 and was last updated on 10/15/2007.