Dermatology Surgical & Medical Group
LBN: Dermatology Surgical & Medical Group
Dermatology Surgical & Medical Group is an health care organization with primary practice located at 1661 Soquel Dr Building E, Santa Cruz CA 95065. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Dermatology Surgical & Medical Group can be contacted via phone (831) 476-2444, or through Niles, Diana via phone (831) 476-2444.
Contact Information
Primary practice address
1661 Soquel Dr Building E
Santa Cruz CA 95065
Phone: (831) 476-2444
Fax: (831) 476-3271
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
NPI number | 1962509109 |
---|---|
LBN Legal business name | Dermatology Surgical & Medical Group |
DBA Doing business as | |
Authorized official | Niles, Diana |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jun 26th, 2018 - about 7 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 | 1962509109 | NPPES |
California | MEDICAID | GR0053090 |
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