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

Laser Medspa, Inc

Organization Procedural Dermatology Physician · NPI 1831603901

Laser Medspa, Inc is a Procedural Dermatology Physician in Palm Desert, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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

73655 El Paseo Ste N
Palm Desert, CA 92260-4304
Phone: (760) 341-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence G29724 (CA)

Record details

NPI number1831603901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Grayman — President · (760) 341-1300
Other names Laser Medspa
NPI enumeratedNovember 27, 2017
Last updated in NPPESJune 16, 2018
Mailing address73655 El Paseo Ste N, Palm Desert, CA 92260-4304