East County Dermatology Medical Group Inc
LBN: East County Dermatology Medical Group Inc
East County Dermatology Medical Group Inc is an health care organization with primary practice located at 514 S Magnolia Ave , El Cajon CA 92020-6011. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
East County Dermatology Medical Group Inc can be contacted via phone (619) 442-4468, or through Thoene, Michael Joseph via phone (619) 442-4468.
Contact Information
Primary practice address
514 S Magnolia Ave
El Cajon CA 92020-6011
Phone: (619) 442-4468
Fax: (619) 442-6432
Website:
Authorized official contact:
Name: Thoene, Michael Joseph Doctor of Medicine (MD)
Phone: (619) 442-4468
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G25265 | California |
Profile Details
| NPI number | 1346254000 |
|---|---|
| LBN Legal business name | East County Dermatology Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Thoene, Michael Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jun 4th, 2015 - about 9 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 | 1346254000 | NPPES |
| California | MEDICAID | GR0017820 | |
| California | MEDICAID | GR0017821 |
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