SKIN AESTHETIC MEDICAL, INC
NPI 1962809400
Clinic/Center - Medical Specialty in Los Angeles, CA
About Skin Aesthetic Medical, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKIN AESTHETIC MEDICAL, INC (NPI 1962809400) is a healthcare organization registered as a medical specialty in Los Angeles, California and active in the NPI registry since November 2014. The organization lists Michael Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Skin Aesthetic Medical, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Skin Aesthetic Medical, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Skin Aesthetic Medical, Inc's NPI number?
The NPI number for Skin Aesthetic Medical, Inc is 1962809400. It was assigned to this organization in the NPPES registry on November 26, 2014.
Where is Skin Aesthetic Medical, Inc located?
Skin Aesthetic Medical, Inc is located at 3700 Wilshire Blvd Suite 310, Los Angeles, CA 90010. The listed phone number is (310) 858-9600.
What is Skin Aesthetic Medical, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Skin Aesthetic Medical, Inc enrolled in Medicare?
Yes. Skin Aesthetic Medical, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Skin Aesthetic Medical, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Skin Aesthetic Medical, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Skin Aesthetic Medical, Inc was last updated on December 17, 2014. 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.
# Skin Aesthetic Medical, Inc · NPI 1962809400
Medical Specialty organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since November 26, 2014.
## Identity
- **NPI:** 1962809400 (Entity type: Organization)
- **Enumerated:** November 26, 2014
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Michael Kim, PRESIDENT
## Practice location
- **Address:** 3700 WILSHIRE BLVD, SUITE 310, Los Angeles, CA 90010-2901
- **Phone:** (310) 858-9600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1962809400) · Data from the CMS NPPES public registry.