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LUMINOUS SKIN DERMATOLOGY AND COSMETIC INSTITUTE INC
NPI 1982904892
Clinic/Center - Medical Specialty in Redondo Beach, CA

Active since October 26, 2010
119 W TORRANCE BLVD, SUITE 7, REDONDO BEACH, CA 90277(310) 374-3100(310) 374-3155 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luminous Skin Dermatology And Cosmetic Institute Inc NPPES

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

LUMINOUS SKIN DERMATOLOGY AND COSMETIC INSTITUTE INC (NPI 1982904892) is a healthcare organization registered as a medical specialty in Redondo Beach, California and active in the NPI registry since October 2010. The organization lists Alexandria V Booth, President, as its authorized official.

NPPES Registry Identity

NPI1982904892
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameLUMINOUS SKIN DERMATOLOGY AND COSMETIC INSTITUTE INC
Location Address119 W TORRANCE BLVD, SUITE 7Redondo Beach, CA 90277-3600
Mailing Address119 W Torrance Blvd, Suite 7Redondo Beach, CA 90277-3600 · (310) 374-3100 · Fax (310) 374-3155
Phone(310) 374-3100
Fax(310) 374-3155
Organization SubpartNo
Authorized OfficialAlexandria V BoothPresident · (310) 374-3100
Enumeration DateOctober 26, 2010
✔ NPI 1982904892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · FNP40648
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
119 W TORRANCE BLVD, Redondo Beach, CA 90277
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Other Providers at the Same Location NPPES 7

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

TRISTAN PUELICHER
Behavior Technician
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 374-3300
KATELYN TAYLOR GARCIA
Behavior Technician
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 502-6713
VIVIAN DE WAART
Behavior Technician
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 374-3300
TAYLOR GRACE MARIN
Behavior Technician
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 374-3300
SAMANTHA MCFEELY
Behavior Analyst
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 374-3300
ISABEL MARIA COVELLI
Behavior Technician
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 374-3300
MATTHEW WESLEY LONGSTREET
Behavior Technician
119 W TORRANCE BLVD
REDONDO BEACH, CA 90277
Los Angeles County (310) 374-3300

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 Luminous Skin Dermatology And Cosmetic Institute Inc's NPI number?

The NPI number for Luminous Skin Dermatology And Cosmetic Institute Inc is 1982904892. It was assigned to this organization in the NPPES registry on October 26, 2010.

Where is Luminous Skin Dermatology And Cosmetic Institute Inc located?

Luminous Skin Dermatology And Cosmetic Institute Inc is located at 119 W Torrance Blvd Suite 7, Redondo Beach, CA 90277. The listed phone number is (310) 374-3100.

What is Luminous Skin Dermatology And Cosmetic Institute Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Luminous Skin Dermatology And Cosmetic Institute Inc was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.