Unknown Individual – Dermatology Physician, NPI 1366437832

Unknown Individual is a healthcare provider. based in Los angeles, California. specializing in Dermatology Physician. They hold a License No. A19760 (CA). The NPI Number for Unknown Individual is 1366437832

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366437832
Phone
(310) 553-3567
Address
2080 CENTURY PARK E
Deactivation Date
14 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2080, Century Park East, Century City, Los Angeles, Los Angeles County, California, 90067, United States

    SUITE 1008

    LOS ANGELES, CA 900672013

    Phone: (310) 553-3567

    Fax: (310) 553-4538

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90067)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1366437832 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in California is Unknown Individual registered?
Use Los Angeles, California as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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