Delta Dermatology Medical Group

LBN: Delta Dermatology Medical Group
Delta Dermatology Medical Group is an health care organization with primary practice located at 310 N Prairie Ave Suite 412, Inglewood CA 90301. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Delta Dermatology Medical Group can be contacted via phone (310) 673-3582, or through Sampson, Darlene D via phone (310) 673-3582.

Contact Information

Primary practice address
310 N Prairie Ave Suite 412 Inglewood CA 90301
Phone: (310) 673-3582
Fax: (310) 677-5466
Website:
Map and Directions
Authorized official contact:
Name: Sampson, Darlene D Doctor of Medicine (MD)
Phone: (310) 673-3582

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G49164 California

Profile Details

NPI number 1346307105
LBN Legal business name Delta Dermatology Medical Group
DBA Doing business as
Authorized official Sampson, Darlene D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 6th, 2008 - about 17 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 1346307105 NPPES
California MEDICAID 00G491641

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