Skin Deep

LBN: Jeannette Martello Md A Professional Corporation
Skin Deep is an health care organization with primary practice located at 701 Fremont Ave , South Pasadena CA 91030-2529. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Jeannette Martello Md A Professional Corporation can be contacted via phone (626) 403-1747, or through Martello, Jeannette Yvette via phone (626) 403-1747.

Contact Information

Primary practice address
701 Fremont Ave South Pasadena CA 91030-2529
Fax: (626) 403-1784
Website:
Authorized official contact:
Name: Martello, Jeannette Yvette Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G066298 California

Profile Details

NPI number 1497992465
LBN Legal business name Jeannette Martello Md A Professional Corporation
DBA Doing business as Skin Deep
Authorized official Martello, Jeannette Yvette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2009
Last updated Feb 9th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497992465 NPPES
California Other 1245452424 INDIVIDUAL PROVIDER NPI

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