Cardinal Dermatology Llc

LBN: Cardinal Dermatology Llc
Cardinal Dermatology Llc is an health care organization with primary practice located at 4322 Lafayette Blvd , South Bend IN 46614. 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 / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Cardinal Dermatology Llc can be contacted via phone (574) 391-1111, or through Pantalena Filho, Luiz Carlos via phone (650) 387-9765.

Contact Information

Primary practice address
4322 Lafayette Blvd South Bend IN 46614
Phone: (574) 391-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pantalena Filho, Luiz Carlos MD, PHD
Phone: (650) 387-9765

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1174390926
LBN Legal business name Cardinal Dermatology Llc
DBA Doing business as
Authorized official Pantalena Filho, Luiz Carlos MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2023
Last updated Dec 11th, 2023 - about last year

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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