Grace Dermatology

LBN: Grace Dermatology
Grace Dermatology is an health care organization with primary practice located at 5122 Katella Ave , Los Alamitos CA 90720-2826. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Grace Dermatology can be contacted via phone (562) 340-5566, or through Kennedy, Lina via phone (310) 430-8442.

Contact Information

Primary practice address
5122 Katella Ave Los Alamitos CA 90720-2826
Fax:
Website:
Authorized official contact:
Name: Kennedy, Lina Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1467231811
LBN Legal business name Grace Dermatology
DBA Doing business as
Authorized official Kennedy, Lina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2023
Last updated Sep 25th, 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.

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