Maven Dermatology Apc
LBN: Maven Dermatology Apc
Maven Dermatology Apc is an health care organization with primary practice located at 8765 Aero Dr Ste 130 , San Diego CA 92123-1767. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Maven Dermatology Apc can be contacted via phone (858) 736-9900, or through Ahluwalia, Jusleen via phone (858) 736-9900.
Contact Information
Primary practice address
8765 Aero Dr Ste 130
San Diego CA 92123-1767
Phone: (858) 736-9900
Fax: (858) 736-0661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | ||
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1366124539 |
|---|---|
| LBN Legal business name | Maven Dermatology Apc |
| DBA Doing business as | |
| Authorized official | Ahluwalia, Jusleen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2023 |
| Last updated | Sep 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366124539 | NPPES |
| California | Other | A144826 | CALIFORNIA MEDICAL LICENSE |
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