Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc
NPI 1639162480ActiveOrganization· Dermatology· Mill Valley, CA
Dermatology in Mill Valley, California, registered in NPPES in August 2005. The authorized official on file is Michelle Lanoue, Remote Business Supervisor.
Overview
| NPI | 1639162480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2005 |
| Last updated in NPPES | Dec 16, 2022 |
| Certified by provider | Dec 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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