Skin Aesthetic Medical, Inc
NPI 1962809400 · Medical Specialty Clinic/Center · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skin Aesthetic Medical, Inc is a Medical Specialty Clinic/Center organization in Los Angeles, CA (NPI 1962809400).
Provider details
- NPI number
- 1962809400
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Kim, President(310) 858-9600
- License
- G89056 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-26
- Last updated
- 2014-12-17
Frequently asked questions
- What is Skin Aesthetic Medical, Inc's NPI number?
- Skin Aesthetic Medical, Inc's National Provider Identifier (NPI) is 1962809400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skin Aesthetic Medical, Inc?
- Skin Aesthetic Medical, Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Skin Aesthetic Medical, Inc located?
- Skin Aesthetic Medical, Inc's practice location on file with NPPES is 3700 Wilshire Blvd, Los Angeles, CA 90010-2901.
- What is Skin Aesthetic Medical, Inc's phone number?
- The practice phone number listed in the NPPES registry for Skin Aesthetic Medical, Inc is (310) 858-9600.
- Does Skin Aesthetic Medical, Inc accept Medicare?
- Skin Aesthetic Medical, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Skin Aesthetic Medical, Inc?
- The authorized official listed on Skin Aesthetic Medical, Inc's NPPES record is Michael Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skin Aesthetic Medical, Inc's NPI active?
- Yes — Skin Aesthetic Medical, Inc's NPI (1962809400) is active in the NPPES registry as of the last update on 2014-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.