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SOUTHERN CALIFORNIA SKIN AND LASER
NPI 1225227333
Specialist in Laguna Hills, CA

Active since October 15, 2007CLIA 05D1060575 · Certificate of Compliance
22972 MOULTON PKWY STE 106, LAGUNA HILLS, CA 92653(949) 707-5734(949) 707-1924 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern California Skin And Laser NPPES

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

SOUTHERN CALIFORNIA SKIN AND LASER (NPI 1225227333) is a healthcare organization registered as a specialist in Laguna Hills, California and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 16, 2027 and lists Tanya Y Evans, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1225227333
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN CALIFORNIA SKIN AND LASER
Location Address22972 MOULTON PKWY STE 106Laguna Hills, CA 92653-1219
Mailing Address22972 Moulton Pkwy Ste 106Laguna Hills, CA 92653-1219 · (949) 707-5734 · Fax (949) 707-1924
Phone(949) 707-5734
Fax(949) 707-1924
Organization SubpartNo
Authorized OfficialTanya Y EvansMedical Director · (949) 707-5734
Enumeration DateOctober 15, 2007
✔ NPI 1225227333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A68285
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
22972 MOULTON PKWY STE 106, Laguna Hills, CA 92653
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1060575

Southern California Skin & Laser · Laguna Niguel, CA
Active · expires May 16, 2027
CLIA Number05D1060575
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorDr. Tanya Y. Evans MD
Laboratory Phone(949) 707-5734
Laboratory LocationSouthern California Skin & Laser27020 Alicia Pkwy, Ste G, Laguna Niguel, CA 92677
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACY NORMAN P.A.
Specialist
22972 MOULTON PKWY STE 106
LAGUNA HILLS, CA 92653
Orange County (949) 707-5734

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 Southern California Skin And Laser's NPI number?

The NPI number for Southern California Skin And Laser is 1225227333. It was assigned to this organization in the NPPES registry on October 15, 2007.

Where is Southern California Skin And Laser located?

Southern California Skin And Laser is located at 22972 Moulton Pkwy Ste 106, Laguna Hills, CA 92653. The listed phone number is (949) 707-5734.

What is Southern California Skin And Laser's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Southern California Skin And Laser hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1060575) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern California Skin And Laser was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.