Healthcare Provider Details

I. General information

NPI: 1659201283
Provider Name (Legal Business Name): SKIINN AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10568 GATEWAY PROMENADE STE D
EL MONTE CA
91731-3644
US

IV. Provider business mailing address

10568 GATEWAY PROMENADE UNIT D
EL MONTE CA
91731-3644
US

V. Phone/Fax

Practice location:
  • Phone: 626-602-3665
  • Fax:
Mailing address:
  • Phone: 626-602-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BEHROZ HAMKAR
Title or Position: CEO
Credential: MD
Phone: 951-734-9108