Modesto Dermatology And Skin Cancer Pc

LBN: Modesto Dermatology And Skin Cancer Pc
Modesto Dermatology And Skin Cancer Pc is an health care organization with primary practice located at 3105 Mchenry Ave , Modesto CA 95350-1439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Modesto Dermatology And Skin Cancer Pc can be contacted via phone (209) 575-2700, or through Taheri, Daniel via phone (209) 575-2700.

Contact Information

Primary practice address
3105 Mchenry Ave Modesto CA 95350-1439
Phone: (209) 575-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taheri, Daniel Doctor of Medicine (MD)
Phone: (209) 575-2700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1093079485
LBN Legal business name Modesto Dermatology And Skin Cancer Pc
DBA Doing business as
Authorized official Taheri, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2012
Last updated Jun 29th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093079485 NPPES
California Other FNP42965 FNP

Popular Providers