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Organization
SKIN WORKS INC.
Active
Organization
SKIN WORKS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DURRETT (OFFICE MANAGER)
(424) 352-0049
Entity
Organization
Contact information
Practice address
2573 PACIFIC COAST HWY STE B, TORRANCE, CA 90505
(424) 488-6399
Mailing address
2573 PACIFIC COAST HWY STE B, TORRANCE, CA 90505-7950
(424) 250-1680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
028306
CA
207N00000X
Dermatology Physician
028306
CA
Other
Enumeration date
08/07/2018
Last updated
08/20/2018
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