Quail Lakes Dermatology Medical Associates, Inc.

LBN: Quail Lakes Dermatology Medical Associates, Inc.
Quail Lakes Dermatology Medical Associates, Inc. is an health care organization with primary practice located at 4553 Quail Lakes Dr , Stockton CA 95207-5257. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Quail Lakes Dermatology Medical Associates, Inc. can be contacted via phone (209) 951-1133, or through Herbold, Kyle Wayne via phone (209) 951-1133.

Contact Information

Primary practice address
4553 Quail Lakes Dr Stockton CA 95207-5257
Phone: (209) 951-1133
Fax: (209) 951-4708
Website:
Map and Directions
Authorized official contact:
Name: Herbold, Kyle Wayne Doctor of Medicine (MD)
Phone: (209) 951-1133

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A068815 California

Profile Details

NPI number 1275536872
LBN Legal business name Quail Lakes Dermatology Medical Associates, Inc.
DBA Doing business as
Authorized official Herbold, Kyle Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2005
Last updated Aug 22nd, 2020 - about 4 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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