Westside Dermatology Associates A Professional Medical Corporation
LBN: Westside Dermatology Associates A Professional Medical Corporation
Westside Dermatology Associates A Professional Medical Corporation is an health care organization with primary practice located at 120 Meadowcrest St Suite 160, Gretna LA 70056-5255. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Westside Dermatology Associates A Professional Medical Corporation can be contacted via phone (504) 391-7525, or through Russo, Gordon J via phone (504) 391-7525.
Contact Information
Primary practice address
120 Meadowcrest St Suite 160
Gretna LA 70056-5255
Phone: (504) 391-7525
Fax: (504) 391-7624
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 015208 | Louisiana |
Profile Details
NPI number | 1588725808 |
---|---|
LBN Legal business name | Westside Dermatology Associates A Professional Medical Corporation |
DBA Doing business as | |
Authorized official | Russo, Gordon J Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Mar 4th, 2010 - about 14 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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