Luminous Skin Dermatology and Cosmetic Institute INC
NPI #1982904892 in Redondo Beach, California
Provider Information
- NPI Number
- 1982904892
- Entity Type
- Organization
- Organization Name
- Luminous Skin Dermatology and Cosmetic Institute INC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Oct 26, 2010
- Last Updated
- Oct 26, 2010
Practice Location
- Address
- 119 W TORRANCE BLVD
- Address 2
- SUITE 7
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-3600
- Phone
- (310) 374-3100
Authorized Official
- Name
- ALEXANDRIA V BOOTH, MD
- Title
- PRESIDENT
- Phone
- (310) 374-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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