Green Dermatologic Medical Group A Medical Corporation

LBN: Green Dermatologic Medical Group A Medical Corporation
Green Dermatologic Medical Group A Medical Corporation is an health care organization with primary practice located at 24411 Health Center Dr Ste 520 , Laguna Hills CA 92653-3633. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Green Dermatologic Medical Group A Medical Corporation can be contacted via phone (949) 452-3841, or through Green, Rollin M via phone (949) 452-3841.

Contact Information

Primary practice address
24411 Health Center Dr Ste 520 Laguna Hills CA 92653-3633
Phone: (949) 452-3841
Fax: (949) 859-8937
Website:
Map and Directions
Authorized official contact:
Name: Green, Rollin M Doctor of Medicine (MD)
Phone: (949) 452-3841

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1821116054
LBN Legal business name Green Dermatologic Medical Group A Medical Corporation
DBA Doing business as
Authorized official Green, Rollin M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated May 4th, 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.

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