Laser Medspa, Inc.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G29724 Issued in CA

Legal business name

LASER MEDSPA, INC.

Practice address

73655 El Paseo Ste N
Palm Desert, CA 92260-4304

Phone

(760) 341-1300

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Glen Grayman, MD

Title

President

Phone

(760) 341-1300

Specialties & licenses 1

Addresses

Other names 1

• Laser Medspa Doing business as

Locations

Practitioners 1

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

• Judith Ann Morgan, L.E

  • Specialist
  • Palm Desert, CA
  • NPI 1992280820

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1831603901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73655 EL PASEO STE N",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604304",
            "telephone_number": "760-341-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73655 EL PASEO STE N",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604304",
            "telephone_number": "760-341-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER MEDSPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAYMAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-341-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G29724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Medspa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Lawrence Langford, PHYSICAL THERAPIST
• Vanessa Lara-Diaz
• Tristan Alec Lares-Salinas
• Michael Lewis Larson, P.A.
• Laser Eye Care of California, LLC
• Laura R Morgan MD Inc
• Sally Rochie Lawes, LPC
• Lawrence C Watson OD a Professional Optometric Corp.
• Tiarra R Laws
• Cheri Ann Layman

• Procedural Dermatology Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.