Mobile Skin Solutions LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MOBILE SKIN SOLUTIONS LLC

Practice address

3742 Katella Ave Ste 302
Los Alamitos, CA 90720-3172

Phone

(562) 936-0292

Fax

(562) 936-1943

NPI assigned

Nov 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Sleep, MDNPI 1750458816

Title

President

Phone

(562) 209-4442

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Sleep, MD

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1750458816
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1053914606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 KATELLA AVE STE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203172",
            "telephone_number": "562-936-0292",
            "fax_number": "562-936-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 KATELLA AVE STE 302",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203172",
            "telephone_number": "562-936-0292",
            "fax_number": "562-936-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE SKIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "SLEEP",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-209-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsleep@sandellandsleepmds.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "los Alamitos",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "los Alamitos",
            "address_1": "3742 Katella Ave Ste 302",
            "city": "Los Alamitos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907203172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mir M. Madani M.D. a Professional Medical Corporation
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• Tomoji Mizuguchi, M.D.
• MJ Medical & Associates
• MJ Medical Inc.
• Elham Mohammadipoor
• Monarqui Aesthetic and Wellness
• Monica Choi, MD
• Kassandra Renee Monson
• Sierra Moon

• Medical Specialty Clinic/Center in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.