MEDICARE: LASER CARE SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1063494292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LASER CARE SPECIALISTS

Provider Business Mailing Address
First Line	:	3828 SCHAUFELE AVE STE 300
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1793
Country	:	US
Telephone Number	:	629-971-1445
Fax Number	:	562-989-7829

Provider Business Practice Location Address
First Line	:	3828 SCHAUFELE AVE STE 300
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1793
Country	:	US
Telephone Number	:	562-384-4241
Fax Number	:	562-989-7829

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. BRYNA PEARL KANE
Credential	:	M.D.
Telephone Number	:	562-989-7829

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	01/14/2020

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Practice Location Address:

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1831171842 — MRS. BRYNA PEARL KANE M.D.
Practice Location Address:

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Practice Location Address:

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1154387413 — MR. EDWARD GLASSBERG M.D.
Practice Location Address:

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Directions to “LASER CARE SPECIALISTS ” Practice Location

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