Aesthetic Surgery & Laser Medical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AESTHETIC SURGERY & LASER MEDICAL CENTER INC

Practice address

28212 Kelly Johnson Pkwy
Suite 265
Valencia, CA 91355-5084

Phone

(661) 254-3686

Fax

(661) 254-5671

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bernard I Raskin, MD

Title

Medical Director

Phone

(661) 254-3686

Specialties & licenses 1

Addresses

Listed as

Aesthetic Surgery and Laser Medical Center IncCCN 05C0001390

Medicare certification status

Terminated Voluntary: merger or closure, Jul 26, 2012From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Shilesh Iyer, M.D.

  • Specialist
  • Valencia, CA
  • NPI 1841351277
  NPD (past)
• Claudia Deyanira Sotomayor Valdivia, PA-C

  • Physician Assistant
  • Asheville, NC
  • NPI 1275876682
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1467572115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "SUITE 265",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555084",
            "telephone_number": "661-254-3686",
            "fax_number": "661-254-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "SUITE 265",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555084",
            "telephone_number": "661-254-3686",
            "fax_number": "661-254-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY & LASER MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "RASKIN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-254-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Walkin Chiropractic Inc
• Advent HHA Ca, LLC
• Affinity Hospice LLC
• Erica Agamalian
• Lavinia Aghakhani
• Chris Aghayan, MD.
• Michelle Mae Aghili, D.D.S.

• All providers in Valencia, CA
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.