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General NPI Number Information
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NPI Number | 1861512378
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Entity Type | Organization
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Legal Business Name | SKINRX INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2222 SANTA MONICA BLVD STE 103
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City | SANTA MONICA
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State | CA
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Zip | 90404-2305
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Country | US
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Telephone | 310-453-5557
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Fax | 310-828-5536
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Provider Business Mailing Address
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Address Line | 2222 SANTA MONICA BLVD STE 103
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City | SANTA MONICA
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State | CA
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Zip | 90404-2305
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Country | US
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Telephone | 310-453-5557
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Fax | 310-828-5536
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JESSICA AVIVA FOROOZAN
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Credential |
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Telephone | 310-453-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY39520
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License Number State | CA
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