WILSHIRE CENTER FOR DERMATOLOGY, A PROFESSIONAL CORPORATION (NPI# 1104180264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104180264 |
| Entity Type | Organization |
| Organization Name | WILSHIRE CENTER FOR DERMATOLOGY, A PROFESSIONAL CORPORATION |
| Practice Address |
5757 Wilshire Blvd Promenade 2 Los Angeles CA 90036-5810 |
| Practice Telephone | 3239361245 |
| Practice Fax Number | 3239360887 |
| Mailing Telephone | 3239361245 |
| Mailing Fax Number | 3239360887 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | DR. WILLIAM RASSMAN (PRESIDENT) |
| Authorized Official Telephone | 3239361245 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G57255 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5757 WILSHIRE BLVD PROMENADE 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950197 | Museum Center Surgery Group Inc. | Clinic/Center | 5757 Wilshire Blvd, Promenade 6, Los Angeles, CA 90036-3681 | 2005-05-24 |
| 1871078972 | Shahbaz Farnad Md Professional Corporation | Anesthesiology | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036 | 2018-09-25 |
| 1528499415 | Wilshire Center for Cosmetic Surgery, A Professional Corporation | Clinic/Center | 5757 Wilshire Blvd, Promenade 2, Los Angeles, CA 90036-5810 | 2013-12-03 |
| 1679911234 | Jason Sven Wersland | Chiropractor | 5757 Wilshire Blvd, Los Angeles, CA 90036-5810 | 2013-06-05 |
| 1689917338 | Advanced Surgery Center of Beverly Hills, LLC | Clinic/Center | 5757 Wilshire Blvd, Promenade 1, Los Angeles, CA 90036-5810 | 2013-04-01 |
| 1952647166 | Simon Kohanoff | Chiropractor | 5757 Wilshire Blvd, Los Angeles, CA 90036-5810 | 2012-12-14 |
| 1528303203 | Steven Ryan Selby | Chiropractor | 5757 Wilshire Blvd, Suite 601, Los Angeles, CA 90036-5810 | 2012-12-06 |
| 1689928541 | Hasmig Darakian | Physician Assistant | 5757 Wilshire Blvd, Suite 490, Los Angeles, CA 90036-5810 | 2012-10-30 |
| 1629324454 | Yuko Mori | Marriage & Family Therapist | 5757 Wilshire Blvd, #635, Los Angeles, CA 90036-5810 | 2012-07-30 |
| 1952664625 | Michelle Cauley | Social Worker | 5757 Wilshire Blvd, Suite 635, Los Angeles, CA 90036-3686 | 2012-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| 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 |
|---|---|---|---|---|
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1679120422 | Sameer Bashey Md Pllc | Dermatology | 9201 W Sunset Blvd Ste 414, Los Angeles, CA 90069-3705 | 2019-08-26 |
| 1538640669 | James Y. Wang, Md, Inc. | Dermatology | 888 S Figueroa St Ste 1050, Los Angeles, CA 90017-5310 | 2018-08-27 |
| 1235639691 | Pearl E. Grimes Md, Inc. | Dermatology | 5670 Wilshire Blvd Ste 650, Los Angeles, CA 90036-5609 | 2018-02-12 |
| 1578926622 | Tuyet Ann Nguyen | Dermatology | 1127 Wilshire Blvd Ste 600, Los Angeles, CA 90017-3907 | 2016-04-05 |
| 1215370960 | Courtney Phillips | Dermatology | 1200 N State St # 3250, Los Angeles, CA 90033-1029 | 2013-04-12 |
| 1760749311 | Ardalan Minokadeh | Dermatology | 9201 W Sunset Blvd Ste 602, Los Angeles, CA 90069-3707 | 2012-04-20 |
| 1518254481 | Samuel Jackson Balin | Dermatology | 200 Medical Plz Ste 450, Los Angeles, CA 90095 | 2011-06-29 |
| 1689963340 | Consuelo Veronica David | Dermatology | 3520 Somerset Dr, Los Angeles, CA 90016-4808 | 2011-04-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
Please comment or provide details below to improve the information on WILSHIRE CENTER FOR DERMATOLOGY, A PROFESSIONAL CORPORATION.
| 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.