Allura Skin & Laser Center, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALLURA SKIN & LASER CENTER, INC.

Practice address

280 Baldwin Ave
San Mateo, CA 94401-3915

Phone

(650) 344-1121

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce L Maltz, M.D.

Title

President

Phone

(650) 344-1121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1265638860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-344-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BALDWIN AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013915",
            "telephone_number": "650-344-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURA SKIN & LASER CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MALTZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-344-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taima Aljamal
• Lisa Maria Allaire, D.C.
• Santiago Allende, PSYD
• Allergy and Asthma Clinic Incorporated
• Lauren Amy Allerhand, PSY.D.
• Michele Almeida
• Brita Christina Almog, MD
• Alessia Almuflihi, NP
• Beverly Elizabeth Alonzo Lopez
• Annina L Altomari, LMFT

• Dermatology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.