Ventura Dermatology Medical Clinic, Inc
LBN: Ventura Dermatology Medical Clinic, Inc
Ventura Dermatology Medical Clinic, Inc is an health care organization with primary practice located at 227 N Dos Caminos Ave , Ventura CA 93003-1660. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as the primary health care specialty.
Ventura Dermatology Medical Clinic, Inc can be contacted via phone (805) 648-6969, or through Thacher, John Hollister via phone (805) 648-6969.
Contact Information
Primary practice address
227 N Dos Caminos Ave
Ventura CA 93003-1660
Phone: (805) 648-6969
Fax: (805) 648-3762
Website:
Authorized official contact:
Name: Thacher, John Hollister Doctor of Medicine (MD)
Phone: (805) 648-6969
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | G18881 | California |
Profile Details
NPI number | 1548286701 |
---|---|
LBN Legal business name | Ventura Dermatology Medical Clinic, Inc |
DBA Doing business as | |
Authorized official | Thacher, John Hollister Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548286701 | NPPES |
California | Other | ZZZ71761Z | BLUE SHIELD |
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