City South Dermatology

LBN: City South Dermatology Pllc
City South Dermatology is an health care organization with primary practice located at 24604 104Th Ave Se , Kent WA 98030-5385. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. City South Dermatology Pllc can be contacted via phone (617) 412-1987, or through Lin, Richard Lee-Tsong via phone (617) 412-1987.

Contact Information

Primary practice address
24604 104Th Ave Se Kent WA 98030-5385
Phone: (617) 412-1987
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lin, Richard Lee-Tsong Doctor of Medicine (MD)
Phone: (617) 412-1987

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1255946315
LBN Legal business name City South Dermatology Pllc
DBA Doing business as City South Dermatology
Authorized official Lin, Richard Lee-Tsong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2020
Last updated Sep 18th, 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.

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