Central Valley Dermatology Medical Group
LBN: Central Valley Dermatology Medical Group, A Professional Corporation
Central Valley Dermatology Medical Group is an health care organization with primary practice located at 3800 Geer Rd Ste 200 , Turlock CA 95382-1146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Central Valley Dermatology Medical Group, A Professional Corporation can be contacted via phone (209) 250-1442, or through Hantash, Basil M via phone (408) 204-8946.
Contact Information
Primary practice address
3800 Geer Rd Ste 200
Turlock CA 95382-1146
Phone: (209) 250-1442
Fax: (209) 668-4992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
| NPI number | 1043315195 |
|---|---|
| LBN Legal business name | Central Valley Dermatology Medical Group, A Professional Corporation |
| DBA Doing business as | Central Valley Dermatology Medical Group |
| Authorized official | Hantash, Basil M MD, PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | May 12th, 2020 - about 4 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 | 1043315195 | NPPES |
| Other | DA7300 | RAILROAD MEDICARE GROUP# | |
| Other | ZZZ20312Z | RAILROAD MEDICARE GROUP# |
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