Provider profile · NPI 1396849576
Advance Dermatology & Laser Medical Center Inc.
Dermatology, Procedural Dermatology · Marina Del Rey, CA · NPI 1396849576 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Dermatology, Procedural Dermatology
Enumerated
Sep 11, 2006
License(s)
G076981 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4560 ADMIRALTY WAY STE 101 | Marina Del Rey, CA 90292-5424 | 310-577-7544 |
| MAILING | 4560 ADMIRALTY WAY STE 101 | Marina Del Rey, CA 90292-5424 | 310-577-7544 |
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