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SKIN AND BEAUTY CENTER (SBC) INC. NPI 1972920759


NPI Information

NPI: 1972920759
Provider Name: SKIN AND BEAUTY CENTER (SBC), INC.

Doing Business As: NORTHRIDGE DERMATOLOGY ASSOCIATES MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0558065

Address:
9535 RESEDA BLVD
SUITE 304
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 886-3884
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SKIN AND BEAUTY CENTER (SBC), INC. is a specialist in Northridge, 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. SKIN AND BEAUTY CENTER (SBC), INC. NPI is 1972920759. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northridge Dermatology Associates Medical Group.

The provider's business location address is:

9535 RESEDA BLVD
SUITE 304
NORTHRIDGE, CA
ZIP 91324-310
Phone: (818) 886-3884
Fax: (818) 886-5418

The provider's authorized official is Payam Saadat .
The authorized official title is Owner and has the following contact phone number (323) 857-0777.

The CLIA number assigned to this NPI record is 05D0558065 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/18/2014 and was last updated on 3/20/2014.


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
1174400000XSpecialist=========CALIFORNIAYes

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
1W20415MEDICARE UPINCALIFORNIA

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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