Innovative Dermatology Alliance Ca

LBN: Innovative Dermatology Alliance Ca
Innovative Dermatology Alliance Ca is an health care organization with primary practice located at 1027 N Demaree St , Visalia CA 93291-4117. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Innovative Dermatology Alliance Ca can be contacted via phone (559) 733-5050, or through Rex, Christopher U via phone (904) 994-4533.

Contact Information

Primary practice address
1027 N Demaree St Visalia CA 93291-4117
Phone: (559) 733-5050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rex, Christopher U Doctor of Medicine (MD)
Phone: (904) 994-4533

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1083188221
LBN Legal business name Innovative Dermatology Alliance Ca
DBA Doing business as
Authorized official Rex, Christopher U Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2019
Last updated May 16th, 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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