NPI
Advance Dermatology & Laser Medical Center Inc.
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-09-11
- Last updated
- 2022-12-16
Specialties
Licenses
- License CA
- G076981
Location
- Practice location
- 4560 Admiralty Way Ste 101
- City
- Marina Del Rey CA
- Postal code
- 90292-5424
- Phone
- (310) 577-7544
Organization contact
- Name
- NITA PATEL
- Title
- owner
- Phone
- 3105777544
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Marina Del Rey, CA. 990 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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