Organization
THE FAMILY SKIN THERAPY CENTER AT ON THE BEACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GINO MORROW (ADMINISTRATOR)
(818) 766-4247
Entity
Organization
Contact information
Practice address
10660 RIVERSIDE DR, UNIT D, TOLUCA LAKE, CA 91602-2352
(818) 766-4247
(818) 506-1259
Mailing address
10660 RIVERSIDE DR, UNIT D, TOLUCA LAKE, CA 91602-2352
(818) 766-4247
(818) 506-1259
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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