Coastal Medical And Cosmetic Dermatology Inc
LBN: Coastal Medical And Cosmetic Dermatology Inc
Coastal Medical And Cosmetic Dermatology Inc is an health care organization with primary practice located at 9850 Genesee Ave Ste 500 , La Jolla CA 92037-1213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Coastal Medical And Cosmetic Dermatology Inc can be contacted via phone (858) 657-0267, or through Gonzales, Darrell Wayne via phone (858) 657-0267.
Contact Information
Primary practice address
9850 Genesee Ave Ste 500
La Jolla CA 92037-1213
Phone: (858) 657-0267
Fax:
Website:
Authorized official contact:
Name: Gonzales, Darrell Wayne Doctor of Medicine (MD)
Phone: (858) 657-0267
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A88738 | California |
Profile Details
| NPI number | 1346488004 |
|---|---|
| LBN Legal business name | Coastal Medical And Cosmetic Dermatology Inc |
| DBA Doing business as | |
| Authorized official | Gonzales, Darrell Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2009 |
| Last updated | Dec 17th, 2015 - about 10 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 | 1346488004 | NPPES |
| Other | 1417960188 | INDIVIDUAL NPI |
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