ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC. – NPI #1396849576
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC. is a dermatologist located in MARINA DEL REY, CA. NPPES has assigned the NPI number 1396849576 to ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC. on September 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 3 years ago on Dec 16, 2022. 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 ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC. below.

NPI Profile for
ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC.

NPI Number
1396849576
Enumeration Date

(about 20 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
ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC.
Primary location
4560 ADMIRALTY WAY STE 101
MARINA DEL REY, CA 90292-5424
Phone: (310) 577-7544 Fax: (310) 577-5255
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NITA PATEL
OWNER
Phone: (310) 577-7544
Updated
Certification Date
Dec 16, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 CA G076981

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.