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LAGUNA ALLERGY MEDICAL BOUTIQUE
NPI 1578340907
Allergy & Immunology - Allergy in Aliso Viejo, CA

Active since September 11, 2023
2 JOURNEY STE 201, ALISO VIEJO, CA 92656(949) 287-4900 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laguna Allergy Medical Boutique NPPES

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

LAGUNA ALLERGY MEDICAL BOUTIQUE (NPI 1578340907) is a healthcare organization registered as an allergy in Aliso Viejo, California and active in the NPI registry since September 2023. The organization lists Gillian Bassirpour, Ceo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1578340907
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameRYANRAE SKIN
Location Address2 JOURNEY STE 201Aliso Viejo, CA 92656-3373
Mailing Address2 Journey Ste 201Aliso Viejo, CA 92656-3373 · (949) 287-4900
Phone(949) 287-4900
Organization SubpartNo
Authorized OfficialGillian BassirpourCeo, Cfo · (949) 287-4900
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1578340907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
2 JOURNEY STE 201, Aliso Viejo, CA 92656
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Other Names 1

Doing Business AsLaguna Allergy Medical Boutique

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

Other Providers at the Same Location NPPES 2

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

KRISTEN M. WALTERS MD
Allergy & Immunology
2 JOURNEY STE 201
ALISO VIEJO, CA 92656
Orange County (949) 287-4900
GILLIAN GOLDBERG BASSIRPOUR MD
Allergy & Immunology (Allergy)
2 JOURNEY STE 201
ALISO VIEJO, CA 92656
Orange County (949) 287-4900

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 Ryanrae Skin's NPI number?

The NPI number for Ryanrae Skin is 1578340907. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Laguna Allergy Medical Boutique.

Where is Ryanrae Skin located?

Ryanrae Skin is located at 2 Journey Ste 201, Aliso Viejo, CA 92656. The listed phone number is (949) 287-4900.

What is Ryanrae Skin's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for Ryanrae Skin was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.