Southern California Skin and Laser
NPI #1225227333 in Laguna Hills, California
Provider Information
- NPI Number
- 1225227333
- Entity Type
- Organization
- Organization Name
- Southern California Skin and Laser
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Oct 15, 2007
Practice Location
- Address
- 22972 MOULTON PKWY STE 106
- City
- Laguna Hills
- State
- California
- ZIP Code
- 92653-1219
- Phone
- (949) 707-5734
Authorized Official
- Name
- MS. TANYA Y EVANS, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (949) 707-5734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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