MEDICARE: THE FAMILY SKIN THERAPY CENTER AT ON THE BEACH, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1881619500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE FAMILY SKIN THERAPY CENTER AT ON THE BEACH, INC.

Provider Business Mailing Address
First Line	:	10660 RIVERSIDE DR
Second Line	:	UNIT D
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-2352
Country	:	US
Telephone Number	:	818-766-4247
Fax Number	:	818-506-1259

Provider Business Practice Location Address
First Line	:	10660 RIVERSIDE DR
Second Line	:	UNIT D
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-2352
Country	:	US
Telephone Number	:	818-766-4247
Fax Number	:	818-506-1259

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. GINO MORROW
Credential	:
Telephone Number	:	818-766-4247

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1306849831 — J SCOTT BRICKMAN M.D.
Practice Location Address:

4279 FOREST LAKE DR W
TIFTON, GA
31794-2352

Practice Phone: 229-848-6058
Practice Fax:

1134228422 — DR. WILLIAM JOHN MCDONALD MD PA
Practice Location Address:

1028 NORTH FEDERAL HIGHWAY
LAKE WORTH, FL
33460-2352

Practice Phone: 561-585-9891
Practice Fax: 561-585-5801

1700914900 — PAUL ECKLEY D.C.
Practice Location Address:

2352 S COMMERCE RD
WALLED LAKE, MI
48390-2128

Practice Phone: 248-960-0520
Practice Fax: 248-438-5463

1689918963 — HILLARY NUSBAUM MSW
Practice Location Address:

3377 BEECH DR , APT. 7208
LAKE ORION, MI
48359-2352

Practice Phone: 248-505-8754
Practice Fax:

1720468374 — COMMUNITY CHIROPRACTIC & WELLNESS CENTER INC
Practice Location Address:

2352 S COMMERCE RD
WALLED LAKE, MI
48390-2128

Practice Phone: 248-960-0520
Practice Fax: 248-438-5463

1700231800 — SEASIDE TREATMENT CENTER INC.
Practice Location Address:

1028 N FEDERAL HWY
LAKE WORTH, FL
33460-2352

Practice Phone: 855-933-4673
Practice Fax:

Directions to “THE FAMILY SKIN THERAPY CENTER AT ON THE BEACH, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.