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

Skin Cancer and Reconstructive Surgery Specialist of Beverly Hills

Organization Dermatology Physician · NPI 1174681720

Skin Cancer and Reconstructive Surgery Specialist of Beverly Hills provides Dermatology Physician services in Palmdale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1529 Palmdale Blvd Ste 207
Palmdale, CA 93550
Phone: (661) 267-1900
Fax: (661) 267-0700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X · Licence A92792 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A92792 (CA)

Record details

NPI number1174681720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neal Ammar — President · (661) 267-1900
NPI enumeratedDecember 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address9001 Wilshire Blvd, 106, Beverly Hills, CA 90211

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