Organization
ADVANCE DERMATOLOGY & LASER MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITA PARYUS PATEL M.D. (OWNER)
(310) 577-7544
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY STE 101, MARINA DEL REY, CA 90292-5424
(310) 577-7544
(310) 577-5255
Mailing address
4560 ADMIRALTY WAY STE 101, MARINA DEL REY, CA 90292-5424
(310) 577-7544
(310) 577-5255
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G076981
CA
Other
Enumeration date
09/11/2006
Last updated
12/16/2022
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