Healthcare Provider Details

I. General information

NPI: 1134407414
Provider Name (Legal Business Name): SKIN AND BEAUTY CENTER (SBC), INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23501 CINEMA DR STE 111
VALENCIA CA
91355-5429
US

IV. Provider business mailing address

PO BOX 840853
LOS ANGELES CA
90084-0853
US

V. Phone/Fax

Practice location:
  • Phone: 661-258-3811
  • Fax:
Mailing address:
  • Phone: 877-822-2223
  • Fax: 818-842-3208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA93040
License Number StateCA

VIII. Authorized Official

Name: PAYAM SAADAT
Title or Position: PRESIDENT
Credential: MD
Phone: 323-857-0777