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GLENDALE LASER AND DERMATOLOGY ASSOCIATES
NPI 1124497524
Preferred Provider Organization in Glendale, CA

Active since September 16, 2015
1510 S CENTRAL AVE STE 470, GLENDALE, CA 91204(818) 242-0035(818) 242-3628 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Glendale Laser And Dermatology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE LASER AND DERMATOLOGY ASSOCIATES (NPI 1124497524) is a healthcare organization registered as a preferred provider organization in Glendale, California and active in the NPI registry since September 2015. The organization lists Phillip H A Lee, President, as its authorized official.

NPPES Registry Identity

NPI1124497524
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePHILLIP H A LEE MD AND CENTER FOR ADVANCED DERMATOLOGY
Location Address1510 S CENTRAL AVE STE 470Glendale, CA 91204-2514
Mailing Address1510 S Central Ave Ste 470Glendale, CA 91204-2514 · (818) 242-0035 · Fax (818) 242-3628
Phone(818) 242-0035
Fax(818) 242-3628
Organization SubpartNo
Authorized OfficialPhillip H A LeePresident · (818) 242-0035
Enumeration DateSeptember 16, 2015
Last NPPES UpdateFebruary 19, 2016
✔ NPI 1124497524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1510 S CENTRAL AVE STE 470, Glendale, CA 91204
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Other Names 1

Doing Business AsGlendale Laser And Dermatology Associates

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glendale Laser And Dermatology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Glendale Laser And Dermatology Associates, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Yen Wang, M.D.
Dermatology
NPI 1013206945
888 S FIGUEROA ST STE 1050
Los Angeles, CA 90017
(213) 319-3339
✔ PECOS✔ Accepts Medicare5.6 mi
Lily Greenberg, MD
Dermatology
NPI 1841859527
245 FAIR OAKS AVE
South Pasadena, CA 91030
(626) 333-7773
✔ PECOS✔ Accepts Medicare6.2 mi
Phillip Lee, M.D.
Dermatology
NPI 1578628731
401 S FAIR OAKS AVE
Pasadena, CA 91105
(626) 405-7221
✔ PECOS✔ Accepts Medicare6.2 mi
Shirley Chi, M.D.
Dermatology
NPI 1902836992
301 W HUNTINGTON DR STE 419
Arcadia, CA 91007
(626) 446-4663
✔ PECOS✔ Accepts Medicare12 mi
Fernanda Salgado, MD
Dermatology
NPI 1093256349
450 E HUNTINGTON DR
Arcadia, CA 91006
(626) 462-1884
✔ PECOS✔ Accepts Medicare13 mi
Nima Gharavi, M.D./PH.D.
Dermatology
NPI 1366683948
22287 MULHOLLAND HWY SUITE 253
Calabasas, CA 91302
(310) 892-7122
✔ PECOS✔ Accepts Medicare20 mi
Dennis Nguyen, M.D.
Dermatology
NPI 1740482603
10725 INTERNATIONAL DR DEPARTMENT OF DERMATOLOGY - MOHS SURGERY
Rancho Cordova, CA 95670
(916) 631-3010
✔ PECOS✔ Accepts Medicare350 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip H A Lee MD And Center For Advanced Dermatology's NPI number?

The NPI number for Phillip H A Lee MD And Center For Advanced Dermatology is 1124497524. It was assigned to this organization in the NPPES registry on September 16, 2015. The provider is doing business as Glendale Laser And Dermatology Associates.

Where is Phillip H A Lee MD And Center For Advanced Dermatology located?

Phillip H A Lee MD And Center For Advanced Dermatology is located at 1510 S Central Ave Ste 470, Glendale, CA 91204. The listed phone number is (818) 242-0035.

What is Phillip H A Lee MD And Center For Advanced Dermatology's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Phillip H A Lee MD And Center For Advanced Dermatology enrolled in Medicare?

Yes. Phillip H A Lee MD And Center For Advanced Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phillip H A Lee MD And Center For Advanced Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Phillip H A Lee MD And Center For Advanced Dermatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phillip H A Lee MD And Center For Advanced Dermatology was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.