Descanso Dermatology Medical Group

LBN: Descanso Dermatology Medical Group
Descanso Dermatology Medical Group is an health care organization with primary practice located at 1346 Foothill Blvd Ste 203, La Canada CA 91011-2141. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty. Descanso Dermatology Medical Group can be contacted via phone (818) 790-6726, or through Honch, John A via phone (818) 790-6726.

Contact Information

Primary practice address
1346 Foothill Blvd Ste 203 La Canada CA 91011-2141
Phone: (818) 790-6726
Fax: (818) 790-9562
Website:
Map and Directions
Authorized official contact:
Name: Honch, John A Doctor of Medicine (MD)
Phone: (818) 790-6726

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X G40665 California

Profile Details

NPI number 1538161757
LBN Legal business name Descanso Dermatology Medical Group
DBA Doing business as
Authorized official Honch, John A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 26th, 2008 - about 16 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 1538161757 NPPES
California MEDICAID GR0082860
California Other ZZZ157442

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