Golden State Dermatology Associates, Inc.
LBN: Golden State Dermatology Associates, Inc.
Golden State Dermatology Associates, Inc. is an health care organization with primary practice located at 355 Lennon Ln Ste 255 , Walnut Creek CA 94598-2496. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Golden State Dermatology Associates, Inc. can be contacted via phone (925) 932-7704, or through Bortz, Jeffrey Thomas via phone (925) 932-7704.
Contact Information
Primary practice address
355 Lennon Ln Ste 255
Walnut Creek CA 94598-2496
Phone: (925) 932-7704
Fax: (925) 932-7752
Website:
Authorized official contact:
Name: Bortz, Jeffrey Thomas Doctor of Medicine (MD)
Phone: (925) 932-7704
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1700860871 |
|---|---|
| LBN Legal business name | Golden State Dermatology Associates, Inc. |
| DBA Doing business as | |
| Authorized official | Bortz, Jeffrey Thomas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1700860871 | NPPES |
| California | Other | A487440 | LICENSE |
| California | Other | 05D096539 | LICENSE |
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