Foothill Dermatology Medical Center
LBN: Foothill Dermatology Medical Center
Foothill Dermatology Medical Center is an health care organization with primary practice located at 2301 E Foothill Blvd Ste 100, Glendora CA 91740-4000. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Other Service Providers / Specialist is the primary health care specialty.
Foothill Dermatology Medical Center can be contacted via phone (626) 852-3376, or through Sidhu, Amarpaul S via phone (626) 852-3376.
Contact Information
Primary practice address
2301 E Foothill Blvd Ste 100
Glendora CA 91740-4000
Phone: (626) 852-3376
Fax: (626) 852-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A73248 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A73218 | California |
Profile Details
| NPI number | 1154592368 |
|---|---|
| LBN Legal business name | Foothill Dermatology Medical Center |
| DBA Doing business as | |
| Authorized official | Sidhu, Amarpaul S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2008 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1154592368 | NPPES |
| California | MEDICAID | 00A732480 |
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