SKIN AND BEAUTY CENTER INC (NPI# 1073751129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073751129 |
| Entity Type | Organization |
| Organization Name | SKIN AND BEAUTY CENTER INC |
| Other Organization Name | SBC - BURBANK |
| Practice Address |
2720 W Magnolia Blvd Burbank CA 91505-3034 |
| Mailing Address |
8950 W Olympic Blvd Suite 171 Beverly Hills CA 90211-3561 |
| Practice Telephone | 8188428000 |
| Practice Fax Number | 8188423208 |
| Mailing Telephone | 3238570777 |
| Mailing Fax Number | 3239358804 |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | DR. MANJUNATH S VADMAL (PRESIDENT) |
| Authorized Official Telephone | 8188428000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SKIN AND BEAUTY CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A73000 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SBC - Burbank | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4418 Vineland Ave # 102, Toluca Lake, CA 916023457 | 8188427156 | |
| 473 N Fair Oaks Ave, Pasadena, CA 911033621 | 6267922378 | 6267922605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316026875 | Skin and Beauty Center Inc | Dermatology | 6221 Wilshire Blvd, Suite 101, Los Angeles, CA 90048-5201 | 2006-11-03 |
| Street Address |
2720 W MAGNOLIA BLVD |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639155880 | Jeffrey L Ashley | Dermatology | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2005-12-20 |
| 1346570231 | Mylene T Nguyen | Dentist | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2009-12-28 |
| 1740487925 | Payam Saadat | Dermatology | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2007-06-29 |
| 1134342975 | James Edward Matheson | Dentist | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2007-04-10 |
| 1043228083 | Manjunath S Vadmal | Dermatology | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366418931 | Azita Simoni | Dermatology | 2720 W Magnolia Blvd Ste 100, Burbank, CA 91505-3034 | 2006-02-24 |
| 1639155880 | Jeffrey L Ashley | Dermatology | 2720 W Magnolia Blvd, Burbank, CA 91505-3034 | 2005-12-20 |
| 1649274994 | John U Buchman | Dermatology | 2601 W Alameda Ave, Ste 111, Burbank, CA 91505-4810 | 2005-06-01 |
| 1932621802 | Kay Dermatology Inc | Dermatology | 201 S Buena Vista St Ste 420, Burbank, CA 91505-4571 | 2017-07-12 |
| 1699216333 | Amir Larian Md Inc | Dermatology | 1624 W Olive Ave, Suite B, Burbank, CA 91506-2459 | 2017-03-14 |
| 1326435454 | Elizabeth Yim | Dermatology | 2625 W Alameda Ave Ste 404, Burbank, CA 91505 | 2015-04-15 |
| 1194138511 | Karin Eshagh | Dermatology | 2625 W Alameda Ave Ste 404, Burbank, CA 91505-4817 | 2014-06-03 |
| 1306103064 | Kyle Cheng | Dermatology | 2625 W Alameda Ave Ste 404, Burbank, CA 91505-4817 | 2012-04-19 |
| 1447495031 | Rachel Deena Bak | Dermatology | 201 S Buena Vista St, Ste. 420, Burbank, CA 91505-4571 | 2008-12-10 |
| 1578717401 | Ava Khosraviani | Dermatology | 191 S Buena Vista St, Suite 475, Burbank, CA 91505-4554 | 2008-11-05 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.