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
(more than 19 years ago)
STE 207
PALMDALE, CA 93550 Phone: (661) 267-1900 Fax: (661) 267-0700
#106
BEVERLY HILLS, CA 90211 Phone: (310) 273-8885 Fax: (310) 273-8662
PRESIDENT
Phone: (661) 267-1900
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.