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

Shanthimd Dermatology, Inc

Organization Dermatology Physician · NPI 1245698752

Shanthimd Dermatology, Inc is a Dermatology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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

2990 S Sepulveda Blvd Ste 300
Los Angeles, CA 90064-0002
Phone: (323) 421-4747
Fax: (949) 955-7351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A123314 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A123314 (CA)

Record details

NPI number1245698752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanthi Colaco — Ceo/Owner · (323) 421-4747
Other names Shanthimd Dermatology, Inc.
NPI enumeratedJanuary 29, 2016
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address2990 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90064-0002

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