Advanced Dermatology Surgical And Medical Group Inc.
LBN: Advanced Dermatology Surgical And Medical Group Inc.
Advanced Dermatology Surgical And Medical Group Inc. is an health care organization with primary practice located at 3650 E South St #306, Lakewood CA 90712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Advanced Dermatology Surgical And Medical Group Inc. can be contacted via phone (562) 633-6353, or through Rosenberg, Fredric Robert via phone (562) 633-6353.
Contact Information
Primary practice address
3650 E South St #306
Lakewood CA 90712
Phone: (562) 633-6353
Fax: (562) 633-4996
Website:
Authorized official contact:
Name: Rosenberg, Fredric Robert Doctor of Medicine (MD)
Phone: (562) 633-6353
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1154407856 |
|---|---|
| LBN Legal business name | Advanced Dermatology Surgical And Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Rosenberg, Fredric Robert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Aug 7th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154407856 | NPPES |
| California | MEDICAID | GR0025890 | |
| California | Other | G21402 | |
| California | Other | 4024334 | |
| California | Other | G21402 | |
| California | Other | ZZZ12556Z |
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