AESTHETIC SURGERY & LASER MEDICAL CENTER INC
NPI 1467572115
Clinic/Center - Ambulatory Surgical in Valencia, CA

Q: What is Aesthetic Surgery & Laser Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since March 29, 2007CLIA 05D2031108 · Waiver

28212 KELLY JOHNSON PKWY, SUITE 265, VALENCIA, CA 91355(661) 254-3686(661) 254-5671 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Aesthetic Surgery & Laser Medical Center Inc NPPES

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

AESTHETIC SURGERY & LASER MEDICAL CENTER INC (NPI 1467572115) is a healthcare organization registered as an ambulatory surgical in Valencia, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Bernard I Raskin, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467572115

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameAESTHETIC SURGERY & LASER MEDICAL CENTER INC

Location Address28212 KELLY JOHNSON PKWY, SUITE 265Valencia, CA 91355-5084

Mailing Address28212 Kelly Johnson Pkwy, Suite 265Valencia, CA 91355-5084 · (661) 254-3686 · Fax (661) 254-5671

Phone(661) 254-3686

Fax(661) 254-5671

Organization SubpartNo

Authorized OfficialBernard I RaskinMedical Director · (661) 254-3686

Enumeration DateMarch 29, 2007

Last NPPES UpdateJuly 16, 2015

✔ NPI 1467572115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

28212 KELLY JOHNSON PKWY, Valencia, CA 91355

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Other Identifiers 1

Medicare PINS051390CA

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 Waiver 05D2031108

Aesthetic Surgery & Laser Medical Center Inc · Valencia, CA

Active · expires Oct 11, 2027

CLIA Number05D2031108

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 12, 2025

Certificate Expiration DateOctober 11, 2027

Laboratory DirectorBernard Raskin MD

Laboratory Phone(661) 254-2686

Laboratory LocationAesthetic Surgery & Laser Medical Center Inc28212 Kelly Johnson Pkwy Ste 265, Valencia, CA 91355

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MDIOM INC

General Acute Care Hospital

28212 KELLY JOHNSON PKWY, SUITE#215
VALENCIA, CA 91355

Los Angeles County (310) 314-8250

DR. COURTENAY CAMILLE POUCHER MD

Obstetrics & Gynecology

28212 KELLY JOHNSON PKWY
VALENCIA, CA 91355

Los Angeles County (661) 312-0497

DR. CAROLE SUE RANDOLPH D.D.S, M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

28212 KELLY JOHNSON PKWY, SUITE 100
VALENCIA, CA 91355

Los Angeles County (661) 222-3000

KATIE MICHELLE BEVINS MS, OTR/L

Occupational Therapist

28212 KELLY JOHNSON PKWY, 200
VALENCIA, CA 91355

Los Angeles County (818) 501-8352

ANDREW TRAN, DDS, A DENTAL CORPORATION

Dentist (General Practice)

28212 KELLY JOHNSON PKWY, SUITE 170
VALENCIA, CA 91355

Los Angeles County (661) 257-6453

DR. JOSEPH CHANG KOH L.AC.

Acupuncturist

28212 KELLY JOHNSON PKWY, SUITE 140
VALENCIA, CA 91355

Los Angeles County (661) 257-1233

DR. DAVID GOLDBERG D.D.S.

Dentist (General Practice)

28212 KELLY JOHNSON PKWY, SUITE 185
VALENCIA, CA 91355

Los Angeles County (661) 255-8844

SCOTT PEZZINI

Physician Assistant

28212 KELLY JOHNSON PKWY
VALENCIA, CA 91355

Los Angeles County (213) 228-3538

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 Aesthetic Surgery & Laser Medical Center Inc's NPI number?

The NPI number for Aesthetic Surgery & Laser Medical Center Inc is 1467572115. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Aesthetic Surgery & Laser Medical Center Inc located?

Aesthetic Surgery & Laser Medical Center Inc is located at 28212 Kelly Johnson Pkwy Suite 265, Valencia, CA 91355. The listed phone number is (661) 254-3686.

What is Aesthetic Surgery & Laser Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Aesthetic Surgery & Laser Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2031108) is associated with this NPI, valid through October 11, 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 Aesthetic Surgery & Laser Medical Center Inc was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.