NPIMap

Organization Active NPI

Hollywood Lifestyle Dermaotogy

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1740695139
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20A 8743 Issued in CA
Legal business name
HOLLYWOOD LIFESTYLE DERMAOTOGY
Practice address
7135 Hollywood Blvd
#306
Los Angeles, CA 90046-3212
Phone
(323) 301-3378
Fax
(213) 256-0685
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Michael J Sabat, D.O.NPI 1205988664
Title
President
Phone
(323) 600-4156

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 20A 8743 CA Primary

Addresses

Primary practice location

7135 Hollywood Blvd
#306
Los Angeles, CA 90046-3212

Mailing address

7135 Hollywood Blvd
#306
Los Angeles, CA 90046-3212
Phone (323) 301-3378

Other names 1

  • Dr. Michael J Sabat Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1740695139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 HOLLYWOOD BLVD",
            "address_2": "#306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463212",
            "telephone_number": "323-301-3378",
            "fax_number": "213-256-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 HOLLYWOOD BLVD",
            "address_2": "#306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463212",
            "telephone_number": "323-301-3378",
            "fax_number": "213-256-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD LIFESTYLE DERMAOTOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SABAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-600-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A 8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michael J Sabat",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.