Glendora Dermatologic And Cosmetic Surgery Center
LBN: Glendora Dermatologic And Cosmetic Surgery Center
Glendora Dermatologic And Cosmetic Surgery Center is an health care organization with primary practice located at 412 W. Carroll Ave Suite 208, Glendora CA 91741-4280. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Glendora Dermatologic And Cosmetic Surgery Center can be contacted via phone (626) 335-1606, or through Gormley, Daniel E via phone (626) 335-1606.
Contact Information
Primary practice address
412 W. Carroll Ave Suite 208
Glendora CA 91741-4280
Phone: (626) 335-1606
Fax: (626) 963-0575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X |
Profile Details
| NPI number | 1043323801 |
|---|---|
| LBN Legal business name | Glendora Dermatologic And Cosmetic Surgery Center |
| DBA Doing business as | |
| Authorized official | Gormley, Daniel E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Sep 30th, 2010 - about 14 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 | 1043323801 | NPPES |
| California | Other | S551093 | PTAN (MEDICARE LEGACY #) |
Popular Providers
-
Vincennes Surgery Center Lp
300 N 1St St , Vincennes IN 47591-1252 -
The Surgery Center At Printers Park, Llc
175 S Union Blvd Ste 100, Colorado Springs CO 80910-3117 -
Oceanview Pain Treatment Medical Center, Inc.
2650 Elm Ave # 216, Long Beach CA 90806-1651 -
Harrison Surgery Center, Llc
105 Sawgrass Pt , Harrison AR 72601-3072 -
Glendora Ca Endoscopy Asc Lp
1794 S Barranca Ave , Glendora CA 91740-5421 -
Museum Center Surgery Group Inc.
5757 Wilshire Blvd Promenade 6, Los Angeles CA 90036-3681 -
Oklahoma Heart Hospital, Llc
4050 W Memorial Rd , Oklahoma City OK 73120-8382 -
Glendora Surgery Center
541 S Pasadena Ave #101, Glendora CA 91741