NPIMap

Organization Active NPI

La Skincare Center a Medical Corporation

  • Procedural Dermatology Physician
  • El Segundo, CA
National Provider Identifier
1700112216
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
LA SKINCARE CENTER A MEDICAL CORPORATION
Practice address
2284 E. Maple Ave
El Segundo, CA 90245
Phone
(310) 414-9761
Fax
(310) 414-9765
NPI assigned
Oct 19, 2009
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Raisa Howard, C.N.PNPI 1235213901
Title
Owner
Phone
(310) 414-9730

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G24428 CA
Dermatology Physician 207N00000X NU
Procedural Dermatology Physician 207NS0135X NU Primary

Addresses

Primary practice location

2284 E. Maple Ave
El Segundo, CA 90245

Mailing address

2284 E Maple Ave
El Segundo, CA 90245-6507
Phone (310) 414-9761

National Provider Directory

National Provider Directory

Locations

2284 E Maple Ave
El Segundo, CA 90245
Phone (310) 402-2255

12304 Santa Monica Blvd
Ste 208
Los Angeles, CA 90025
Phone (310) 826-1101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1700112216",
    "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",
            "fax_number": "310-414-9765"
        },
        {
            "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": "90245",
            "telephone_number": "310-414-9761",
            "fax_number": "310-414-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SKINCARE CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-414-9730",
        "authorized_official_credential": "C.N.P"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G24428",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.