Bernardo Dermatology Medical Group Inc
LBN: Bernardo Dermatology Medical Group Inc
Bernardo Dermatology Medical Group Inc is an health care organization with primary practice located at 15525 Pomerado Rd Suite A2, Poway CA 92064-2435. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Bernardo Dermatology Medical Group Inc can be contacted via phone (858) 451-3311, or through Larson, Ruth Ann via phone (858) 451-3311.
Contact Information
Primary practice address
15525 Pomerado Rd Suite A2
Poway CA 92064-2435
Phone: (858) 451-3311
Fax: (858) 451-1142
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G41388 | California |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G41388 | California |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G49647 | California |
Profile Details
NPI number | 1407950785 |
---|---|
LBN Legal business name | Bernardo Dermatology Medical Group Inc |
DBA Doing business as | |
Authorized official | Larson, Ruth Ann Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 8th, 2006 |
Last updated | Nov 6th, 2007 - 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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