Healthcare Provider Details

I. General information

NPI: 1689599409
Provider Name (Legal Business Name): INTEGRATIVE SKIN AND BEAUTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 PARKWAY CALABASAS STE 230
CALABASAS CA
91302-3908
US

IV. Provider business mailing address

5000 PARKWAY CALABASAS STE 230
CALABASAS CA
91302-3908
US

V. Phone/Fax

Practice location:
  • Phone: 818-648-3535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHANA GAVIA
Title or Position: PROVIDER
Credential: PA
Phone: 818-648-3535