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Contact Information

CALABASAS MEDICAL SPA
23659 CALABASAS RD
CALABASAS, CA91302-1502
 Phone: 818-850-7905
 Fax: 818-225-8866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CALABASAS MEDICAL SPA · (Female)

NPI # 1356785299
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2013
Last updated 04/22/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A101945
  • CA License # G51360
  • CA Other 1756802 INSURANCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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