Spade Skin Care Medical INC
NPI #1790225829 in Redondo Beach, California
Provider Information
- NPI Number
- 1790225829
- Entity Type
- Organization
- Organization Name
- Spade Skin Care Medical INC
- Primary Specialty
- Dermatology
- Enumeration Date
- Mar 8, 2017
- Last Updated
- Mar 8, 2017
Practice Location
- Address
- 1611 S CATALINA AVE STE L70
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-5296
- Phone
- (310) 316-1954
Authorized Official
- Name
- DR. JOHN O'NEIL SIMMONDS, M.D.
- Title
- PRESIDENT
- Phone
- (310) 316-1954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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