Organization
SKINPECCABLE INC.
Active
Other names
Concierge Medicine/LA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL DARVISH M.D. (PRESIDENT)
(310) 826-2555
Entity
Organization
Contact information
Practice address
11611 SAN VICENTE BLVD, LOBBY LEVEL, LOS ANGELES, CA 90049-5106
(310) 826-2555
(310) 826-2552
Mailing address
11611 SAN VICENTE BLVD, LOBBY LEVEL, LOS ANGELES, CA 90049-5106
(310) 826-2555
(310) 826-2552
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A92794
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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