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AVA T SHAMBAN MD INC NPI 1528246196


NPI Information

NPI: 1528246196
Provider Name: AVA T SHAMBAN MD INC

Former Legal Business Name: LASER INSTITUTE FOR DERMATOLOGY & EUROPEAN SKIN CARE

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
2021 SANTA MONICA BLVD
#600E
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-2282
Get Directions

AVA T SHAMBAN MD INC is a dermatology in Santa Monica, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. AVA T SHAMBAN MD INC NPI is 1528246196. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Laser Institute For Dermatology & European Skin Care.

The provider's business location address is:

2021 SANTA MONICA BLVD
#600E
SANTA MONICA, CA
ZIP 90404
Phone: (310) 828-2282
Fax: (310) 828-8504

The provider's authorized official is Ava T Shamban .
The authorized official title is Physician/owner and has the following contact phone number (310) 828-2282.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 10/13/2010.


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
1207N00000XDermatologyYes

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
1E57567MEDICARE UPINCALIFORNIA
2W13960MEDICARE PINCALIFORNIA
3E57567MEDICARE PINCALIFORNIA
4W13960MEDICARE UPINCALIFORNIA
5WG50969DMEDICARE PINCALIFORNIA

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: 11/14/2023

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