Southern California Dermatology
LBN: J Robert West, M.D., Inc
Southern California Dermatology is an health care organization with primary practice located at 12700 Park Central Dr Ste 1210 , Dallas TX 75251-1522. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty.
J Robert West, M.D., Inc can be contacted via phone (702) 360-2763, or through Blanchard, Lucius via phone (702) 360-2763.
Contact Information
Primary practice address
12700 Park Central Dr Ste 1210
Dallas TX 75251-1522
Phone: (702) 360-2763
Fax: (949) 783-2880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G4302 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | C53342 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | G4302 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | C53342 | California |
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
| NPI number | 1932154788 |
|---|---|
| LBN Legal business name | J Robert West, M.D., Inc |
| DBA Doing business as | Southern California Dermatology |
| Authorized official | Blanchard, Lucius Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 26th, 2024 - about 6 months 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 | 1932154788 | NPPES |
| Nevada | Other | CG5410 | RAILROAD MEDICARE |
| Nevada | Other | ZZZ24828Z | RAILROAD MEDICARE |
| Nevada | Other | ZZZ24833Z | RAILROAD MEDICARE |
| Nevada | Other | CA7620 | RAILROAD MEDICARE |
| Nevada | Other | CD5363 | RAILROAD MEDICARE |
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