# LUXE DERM AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437660081
- **Authorized official:** MS. JESSICA RIBERA PA-C (CEO)
- **Authorized official phone:** (310) 699-7604

## Contact information

- **Practice address:** 1658 W AVENUE J, LANCASTER, CA 93534-2814
- **Practice address phone:** (310) 699-7604
- **Mailing address:** 1658 W AVENUE J, LANCASTER, CA 93534-2814
- **Mailing address phone:** (310) 699-7604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2017
- **Last updated:** 10/22/2017