Dermatology Institute Of Southern California
LBN: Daniel Behroozan Md Inc
Dermatology Institute Of Southern California is an health care organization with primary practice located at 2221 Lincoln Blvd #100, Santa Monica CA 90405-1320. 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.
Daniel Behroozan Md Inc can be contacted via phone (310) 392-1111, or through Behroozan, Daniel via phone (310) 392-1111.
Contact Information
Primary practice address
2221 Lincoln Blvd #100
Santa Monica CA 90405-1320
Phone: (310) 392-1111
Fax: (310) 392-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A76756 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A76756 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A76756 | California |
Profile Details
| NPI number | 1760544639 |
|---|---|
| LBN Legal business name | Daniel Behroozan Md Inc |
| DBA Doing business as | Dermatology Institute Of Southern California |
| Authorized official | Behroozan, Daniel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Feb 17th, 2021 - about 3 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 | 1760544639 | NPPES |
| California | Other | W20251 | MEDICARE GROUP ID |
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