Gardena Dermatology

LBN: El Segundo Dermatology, Inc.
Gardena Dermatology is an health care organization with primary practice located at 713 N Douglas St. , El Segundo CA 90245. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. El Segundo Dermatology, Inc. can be contacted via phone (310) 906-2788, or through Fellman, Brenda via phone (310) 906-2788.

Contact Information

Primary practice address
713 N Douglas St. El Segundo CA 90245
Phone: (310) 906-2788
Fax: (310) 906-2786
Website:
Map and Directions
Authorized official contact:
Name: Fellman, Brenda
Phone: (310) 906-2788

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1619351707
LBN Legal business name El Segundo Dermatology, Inc.
DBA Doing business as Gardena Dermatology
Authorized official Fellman, Brenda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2015
Last updated Aug 11th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619351707 NPPES
California MEDICAID 100120719

Popular Providers