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General NPI Number Information
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NPI Number | 1316026875
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Entity Type | Organization
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Legal Business Name | SKIN AND BEAUTY CENTER (SBC), INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 23501 CINEMA DR STE 111
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City | VALENCIA
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State | CA
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Zip | 91355-5429
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Country | US
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Telephone | 661-258-3811
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 W MAGNOLIA BLVD
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City | BURBANK
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State | CA
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Zip | 91505-3034
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Country | US
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Telephone | 818-842-8000
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Fax | 818-478-7207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANJUNATH S VADMAL
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Credential | MD
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Telephone | 323-857-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A73000
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License Number State | CA
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