Organization
CALABASAS MEDICAL SPA
Active
Organization
CALABASAS MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ROBBINS (ADMINISTRATOR)
(818) 850-7905
Entity
Organization
Contact information
Practice address
23659 CALABASAS RD, CALABASAS, CA 91302-1502
(818) 850-7905
(818) 225-8866
Mailing address
23659 CALABASAS RD, CALABASAS, CA 91302-1502
(818) 850-7905
(818) 225-8866
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A101945
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
G51360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1756802
INSURANCE
CA
Enumeration date
04/22/2013
Last updated
04/22/2013
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