Organization Active NPI

Skin Perfect Whittier

  • Clinic/Center
  • Whittier, CA
National Provider Identifier
1124412952
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PA17097 Issued in CA
Legal business name
SKIN PERFECT WHITTIER
Practice address
6501 Greenleaf Ave
Whittier, CA 90601-4108
Phone
(562) 464-5777
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Erin Borini, MS, PA-CNPI 1235628736
Title
Ceo
Phone
(562) 464-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X PA17097 CA Primary

Addresses

Primary practice location

6501 Greenleaf Ave
Whittier, CA 90601-4108

Mailing address

3379 Marigold Cir
Costa Mesa, CA 92626-1724
Phone (909) 910-9696

National Provider Directory

National Provider Directory

Locations

6501 Greenleaf Ave
Whittier, CA 90601
Phone (562) 464-5777

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1124412952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 MARIGOLD CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261724",
            "telephone_number": "909-910-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GREENLEAF AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014108",
            "telephone_number": "562-464-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PERFECT WHITTIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BORINI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-464-5777",
        "authorized_official_credential": "MS, PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "PA17097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.