Lawrence Kuklinski, MD
Dermatologist in Santa Monica, CA
Registered providerLicense # listed (CA)Medicare-enrolledAccepts Medicare assignmentTelehealth (Medicare)
Public-record details
- Address
- 2020 Santa Monica Blvd Ste 510, Santa Monica, CA 90404
- Phone
- (310) 917-3376
- Listed under
- Individual clinicians, Telehealth (Medicare claims)
- NPI
- 1497280507
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- A159152 (CA)
- NPI first issued
- Apr 26, 2017
- Years since NPI first issued
- 9 years (since 2017)
- License state on NPI record
- CA
- NPI record last updated
- Jun 29, 2022
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Telehealth (CMS)
- Medicare claims show telehealth services
- Professional school graduation (CMS)
- 2017 (9 years ago)
- Medicare group practice (CMS)
- The Regents of the University of California (33 clinicians)
- Practice locations on file with Medicare (CMS)
- 4
- Other dermatology listings at this street address
- 8
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