Skull Base Medical Group, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SKULL BASE MEDICAL GROUP, INC

Doing business as

Skull Base Institute

Practice address

8635 W 3Rd St
Suite 1170W
Los Angeles, CA 90048-6101

Phone

(310) 691-8888

Fax

(310) 691-8877

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lara Karen Chahinian

Title

Business Coordinator

Phone

(818) 783-1989

Specialties & licenses 1

Addresses

Other names 1

• Skull Base Institute Doing business as

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1851434518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 1170W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-691-8888",
            "fax_number": "310-691-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 1170W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-691-8888",
            "fax_number": "310-691-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKULL BASE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "CHAHINIAN",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "818-783-1989",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skull Base Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Skoller, MFT
• Samuel A Skootsky, MD
• Antigone Skoulas, D.D.S.
• Elaine Skoulas, AMFT
• Margarita Skripkus, OTR/L
• Skull Base Surgery Institute Professional Corporation
• Stacey Skura Zedeck, R.N.
• Christy Lynn Skura, DPT, PCS
• Boris Skuratovich
• Sky Diagnostics, Inc.

• Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.