Allan S Wirtzer Md

LBN: Mid Valley Dermatology
Allan S Wirtzer Md is an health care organization with primary practice located at 4836 Van Nuys Blvd , Sherman Oaks CA 91403-2101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Mid Valley Dermatology can be contacted via phone (818) 907-7546, or through Lucas Taylor, Rocelyn via phone (818) 907-7546.

Contact Information

Primary practice address
4836 Van Nuys Blvd Sherman Oaks CA 91403-2101
Phone: (818) 907-7546
Fax: (818) 907-9506
Website:
Map and Directions
Authorized official contact:
Name: Lucas Taylor, Rocelyn
Phone: (818) 907-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G21007 California

Profile Details

NPI number 1235335902
LBN Legal business name Mid Valley Dermatology
DBA Doing business as Allan S Wirtzer Md
Authorized official Lucas Taylor, Rocelyn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Nov 11th, 2008 - about 16 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 1235335902 NPPES
California Other A41138 ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR UPIN#
California Other G21007 ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR UPIN#
California Other 1326003161 ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR UPIN#

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