Dermatology & Laser Medical Ctr Inc
Dermatology & Laser Medical Ctr Inc is an MOHS-Micrographic Surgery Physician in Encino, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16260 Ventura Blvd Ste 140Encino, CA 91436-2203
Phone: (818) 528-2500
Fax: (818) 528-2505
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X · Licence A71517 (CA) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence A71517 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence A71517 (CA) |
Record details
| NPI number | 1326299496 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alex Khadavi — Owner · (818) 528-2500 |
| NPI enumerated | October 7, 2008 |
| Last updated in NPPES | July 18, 2011 |
| Mailing address | Po Box 261430, Encino, CA 91426-1430 |
Other providers in Encino
-
Alex A. Khadavi MD Inc
16260 Ventura Blvd Ste 140, Encino, CA 91436-5103 · (818) 528-2500
-
Stephanie Jeanne Martin, MD
16260 Ventura Blvd, Encino, CA 91436-2203 · (818) 788-4022
-
Norman A. Brooks, MD, Inc
16311 Ventura Blvd Ste 690, Encino, CA 91436-2124 · (818) 907-8144