Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc

Organization Dermatology Physician · NPI 1639162480

Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc is a Dermatology Physician in Mill Valley, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

535 Miller Ave
Mill Valley, CA 94941-2905
Phone: (415) 383-5486
Fax: (415) 389-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CA)

Record details

NPI number1639162480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lanoue — Remote Business Supervisor · (605) 484-7519
NPI enumeratedAugust 26, 2005
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address535 Miller Ave, Mill Valley, CA 94941-2905

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