MEDICARE: ENCINO LASER AND SURGERY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	207N00000X	Dermatology Physician
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1437901931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENCINO LASER AND SURGERY CENTER

Provider Business Mailing Address
First Line	:	28049 SMYTH DR
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4023
Country	:	US
Telephone Number	:	818-906-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	28049 SMYTH DR
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-4023
Country	:	US
Telephone Number	:	818-906-6900
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. MICHAEL T LIN
Credential	:	MD
Telephone Number	:	818-906-6900

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	01/20/2026

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