SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS – NPI #1174681720
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS is a dermatologist located in PALMDALE, CA. NPPES has assigned the NPI number 1174681720 to SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS on December 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS below.

NPI Profile for
SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS

NPI Number
1174681720
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SKIN CANCER AND RECONSTRUCTIVE SURGERY SPECIALIST OF BEVERLY HILLS
Primary location
1529 PALMDALE BLVD
STE 207
PALMDALE, CA 93550
Phone: (661) 267-1900 Fax: (661) 267-0700
Mailing address
9001 WILSHIRE BLVD
#106
BEVERLY HILLS, CA 90211
Phone: (310) 273-8885 Fax: (310) 273-8662
Organization Subpart
No
Authorized Official
NEAL AMMAR
PRESIDENT
Phone: (661) 267-1900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)
CA A92792
207N00000X
- Dermatology
CA A92792

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.