Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc

Organization Dermatology Physician · NPI 1639162480

Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc provides Dermatology Physician services in Mill Valley, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

535 Miller Ave
Mill Valley, CA 94941-2905
Phone: (415) 383-5486
Fax: (415) 389-7455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (CA)

Record details

NPI number1639162480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lanoue — Remote Business Supervisor · (605) 484-7519
NPI enumeratedAugust 26, 2005
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address535 Miller Ave, Mill Valley, CA 94941-2905

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