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
Fax: (805) 648-3762
Website:
Authorized official contact:
Name: Thacher, John Hollister Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548286701 NPPES
California Other ZZZ71761Z BLUE SHIELD

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