Landau, Joseph W
Landau, Joseph W is an sole proprietor health care provider with primary practice located at 2428 Santa Monica Blvd Suite 401, Santa Monica CA 90404-2045. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Landau, Joseph W can be contacted via phone (310) 828-4494.Contact Information
Primary practice address
2428 Santa Monica Blvd Suite 401
Santa Monica CA 90404-2045
Phone: (310) 828-4494
Fax: (310) 828-3254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G4281 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | G4281 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G4281 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G4281 | California |
Profile Details
| NPI number | 1609801760 |
|---|---|
| LBN Legal business name | Landau, Joseph W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 23rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609801760 | NPPES |
| California | Other | 000G42810 | BLUE SHIELD |
| California | Other | 952963650 | BLUE SHIELD |
| California | Other | 952963650 | BLUE SHIELD |
| California | MEDICAID | 000G42810 | BLUE SHIELD |
| California | Other | 05D0549998 | BLUE SHIELD |
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