| Elegant Skin Care Medical Center, Inc. | |
|
1117 N Hollywood Way B Burbank CA 91505-2528 | |
| (818) 955-9550 | |
| (818) 955-9507 |
| Full Name | Elegant Skin Care Medical Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1117 N Hollywood Way, Burbank, California |
| Authorized Official Name and Position | Albert M Kelly (OWNER/CEO) |
| Authorized Official Contact | 8189559550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elegant Skin Care Medical Center, Inc. 1117 N Hollywood Way B Burbank CA 91505-2528 Ph: (818) 955-9550 | Elegant Skin Care Medical Center, Inc. 1117 N Hollywood Way B Burbank CA 91505-2528 Ph: (818) 955-9550 |
| NPI Number | 1598772337 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598772337 | NPI | - | NPPES |
| 20A8453 | Other | CA | CERTIFICATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A8453 (California) | Primary |
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