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
Fax: (818) 907-9506
Website:
Authorized official contact:
Name: Wirtzer, Allan Stanley Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295792505 NPPES
California Other 1326003161 ALLAN S. WIRTZER MD, MEDICAL DIRECTOR NPI#

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