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LAWRENCE RIVKIN MD A MED CORP NPI 1518066141


NPI Information

NPI: 1518066141
Provider Name: LAWRENCE RIVKIN MD A MED CORP

Doing Business As: DERMATOLOGY ASSOICATES MEDCIAL GROUP

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 05D0546501

Address:
465 N ROXBURY DR STE 803
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 274-9954
Get Directions

LAWRENCE RIVKIN MD A MED CORP is a procedural dermatology dermatology in Beverly Hills, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). LAWRENCE RIVKIN MD A MED CORP NPI is 1518066141. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dermatology Assoicates Medcial Group.

The provider's business location address is:

465 N ROXBURY DR STE 803
BEVERLY HILLS, CA
ZIP 90210-211
Phone: (310) 274-9954
Fax: (310) 274-9450

The provider's authorized official is Maria E Anzaldo .
The authorized official title is Office Manager and has the following contact phone number (310) 274-9954.

The CLIA number assigned to this NPI record is 05D0546501 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G56013OTHERCALIFORNIASTATE LICENSE
2G76489OTHERCALIFORNIASTATE LICENSE
3WC34985BOTHERCALIFORNIAMEDICARE PROVIDER #
4C34985OTHERCALIFORNIASTATE LICENSE
5W11012OTHERCALIFORNIAGROUP # MEDICARE
6G042740OTHERCALIFORNIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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