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

Laca Dermatology, Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1811497928

Laca Dermatology, Inc is an MOHS-Micrographic Surgery Physician in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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

4955 Van Nuys Blvd Ste 516
Sherman Oaks, CA 91403-1832
Phone: (818) 789-6296
Fax: (818) 789-0374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence C53733 (CA)

Record details

NPI number1811497928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Vine — Md · (818) 789-6296
Other names Laca Dermatology Inc; Laca Dermatology,Inc; Laca Dermatology,Inc
NPI enumeratedFebruary 15, 2018
Last updated in NPPESMarch 25, 2019
Mailing address1920 Hillhurst Ave #158, Los Angeles, CA 90027-3352

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