Healthcare Provider Details

I. General information

NPI: 1346194271
Provider Name (Legal Business Name): DERMASMOOTH ELECTROLYSIS STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1518 SAN PABLO AVENUE SUITE 31
BERKELEY CA
94702
US

IV. Provider business mailing address

PO BOX 2465
BERKELEY CA
94702-0465
US

V. Phone/Fax

Practice location:
  • Phone: 510-500-5169
  • Fax:
Mailing address:
  • Phone: 510-500-5169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: ARVA DANIELLE RACKLEY
Title or Position: OWNER
Credential:
Phone: 904-416-8862