West Valley Dermatology

LBN: West Valley Dermatology
West Valley Dermatology is an health care organization with primary practice located at 4133 Pioneer Pkwy Suite 120, Salt Lake City UT 84120-2050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. West Valley Dermatology can be contacted via phone (801) 966-1403, or through Jensen, Jesse David via phone (385) 377-0212.

Contact Information

Primary practice address
4133 Pioneer Pkwy Suite 120 Salt Lake City UT 84120-2050
Phone: (801) 966-1403
Fax: (801) 964-6478
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Jesse David Doctor of Osteopathy (DO)
Phone: (385) 377-0212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 8963761-1204 Utah

Profile Details

NPI number 1548680184
LBN Legal business name West Valley Dermatology
DBA Doing business as
Authorized official Jensen, Jesse David Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2014
Last updated Dec 21st, 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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