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

Spade Skin Care Medical Inc

Organization Dermatology Physician · NPI 1790225829

Spade Skin Care Medical Inc provides Dermatology Physician services in Redondo Beach, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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

1611 S Catalina Ave Ste L70
Redondo Beach, CA 90277-5296
Phone: (310) 316-1954
Fax: (310) 504-1739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A100364 (CA)

Record details

NPI number1790225829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Simmonds — President · (310) 316-1954
NPI enumeratedMarch 8, 2017
Last updated in NPPESMarch 8, 2017
Mailing address1611 S Catalina Ave Ste L70, Redondo Beach, CA 90277-5296

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