Mid Valley Dermatological Surgery Center
LBN: Allan S. Wirtzer
Mid Valley Dermatological Surgery Center is an health care organization with primary practice located at 4836 Van Nuys Blvd , Sherman Oaks CA 91403-2101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Allan S. Wirtzer can be contacted via phone (818) 907-7546, or through Wirtzer, Allan Stanley via phone (818) 907-7546.
Contact Information
Primary practice address
4836 Van Nuys Blvd
Sherman Oaks CA 91403-2101
Phone: (818) 907-7546
Fax: (818) 907-9506
Website:
Authorized official contact:
Name: Wirtzer, Allan Stanley Doctor of Medicine (MD)
Phone: (818) 907-7546
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 261QA1903X | California |
Profile Details
NPI number | 1295792505 |
---|---|
LBN Legal business name | Allan S. Wirtzer |
DBA Doing business as | Mid Valley Dermatological Surgery Center |
Authorized official | Wirtzer, Allan Stanley Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 28th, 2006 |
Last updated | Nov 13th, 2008 - about 17 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 | 1295792505 | NPPES |
California | Other | 1326003161 | ALLAN S. WIRTZER MD, MEDICAL DIRECTOR NPI# |
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