Clinical Dermatology Center, Llc

LBN: Clinical Dermatology Center, Llc
Clinical Dermatology Center, Llc is an health care organization with primary practice located at 14500 Avion Pkwy Ste 100 , Chantilly VA 20151-1108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Clinical Dermatology Center, Llc can be contacted via phone (703) 705-7000, or through Pavlov, Mikhail A via phone (410) 371-6302.

Contact Information

Primary practice address
14500 Avion Pkwy Ste 100 Chantilly VA 20151-1108
Phone: (703) 705-7000
Fax: (703) 763-7255
Website:
Map and Directions
Authorized official contact:
Name: Pavlov, Mikhail A
Phone: (410) 371-6302

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1902428709
LBN Legal business name Clinical Dermatology Center, Llc
DBA Doing business as
Authorized official Pavlov, Mikhail A
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2020
Last updated Jul 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902428709 NPPES
Other 1578682894 INDIVIDUAL NPI

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