Proderm Image , A Professional Medical Corporation

LBN: Proderm Image , A Professional Medical Corporation
Proderm Image , A Professional Medical Corporation is an health care organization with primary practice located at 960 S Westlake Blvd Ste 208 , Westlake Village CA 91361-3162. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Proderm Image , A Professional Medical Corporation can be contacted via phone (805) 379-5970, or through Figueroa, Noel via phone (805) 379-5970.

Contact Information

Primary practice address
960 S Westlake Blvd Ste 208 Westlake Village CA 91361-3162
Phone: (805) 379-5970
Fax: (805) 379-5970
Website:
Map and Directions
Authorized official contact:
Name: Figueroa, Noel
Phone: (805) 379-5970

Health care specialties

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

Profile Details

NPI number 1811667264
LBN Legal business name Proderm Image , A Professional Medical Corporation
DBA Doing business as
Authorized official Figueroa, Noel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2021
Last updated Sep 16th, 2021 - about 3 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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