La Skincare

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

LA SKINCARE

Practice address

2284 E Maple Ave
El Segundo, CA 90245-6507

Phone

(310) 414-9761

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Grace Sanchez, NPNPI 1912521006

Title

Nurse Practitioner

Phone

(310) 414-9761

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Practitioners 1

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

• Michelle Grace Sanchez, NP

  • Family Nurse Practitioner
  • Redondo Beach, CA
  • NPI 1912521006
  NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1457020380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 E MAPLE AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902456507",
            "telephone_number": "310-414-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 E MAPLE AVE",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902456507",
            "telephone_number": "310-414-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SKINCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "310-414-9761",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912521006",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.laskincarecenter.com",
            "affiliation": "N",
            "endpointDescription": "Pain Management and Women's Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "EL SEGUNDO",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2284 E Maple Ave",
            "city": "El Segundo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902456507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.laskincarecenter.com",
            "affiliation": "N",
            "endpointDescription": "Pain Management and Women's Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "EL SEGUNDO",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2284 E Maple Ave",
            "city": "El Segundo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902456507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• KW Couples Therapy, LLC
• Sarah Kwass
• Nicki Kwong
• L.a. Wellness and Acupuncture Clinic, Inc.
• La Lakers
• La Skincare Center, a Medical Corp
• January La
• Lori Labbate, DPT
• Pierre Labossiere
• Itri Lachgar

• Pain Clinic/Center in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.