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PALOS VERDES SKIN SURGERY CENTER INC. NPI 1154543825


NPI Information

NPI: 1154543825
Provider Name: PALOS VERDES SKIN SURGERY CENTER INC.
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 05D1031579

Address:
550 DEEP VALLEY DR
SUITE 287 PV DERMATOLOGY
ROLLING HILLS ESTATES, CA
ZIP 90274
Phone: (310) 541-7800
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PALOS VERDES SKIN SURGERY CENTER INC. is a mohs-micrographic surgery dermatology in Rolling Hills Estates, CA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. PALOS VERDES SKIN SURGERY CENTER INC. NPI is 1154543825. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

550 DEEP VALLEY DR
SUITE 287 PV DERMATOLOGY
ROLLING HILLS ESTATES, CA
ZIP 90274
Phone: (310) 541-7800
Fax: (310) 541-7808

The provider's authorized official is Howard Fein .
The authorized official title is President and has the following contact phone number (310) 541-7800.

The CLIA number assigned to this NPI record is 05D1031579 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryA84759CALIFORNIAYes

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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