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COMMUNITY CARE SERVICES LLC NPI 1174094866


NPI Information

NPI: 1174094866
Provider Name: COMMUNITY CARE SERVICES LLC

Doing Business As: RENOWN DERMATOLOGY, LASER & SKIN CARE

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 29D2169393

Address:
6536 S MCCARRAN BLVD STE B
RENO, NV
ZIP 89509
Phone: (775) 982-8255
Get Directions

COMMUNITY CARE SERVICES LLC is a dermatology in Reno, NV. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. COMMUNITY CARE SERVICES LLC NPI is 1174094866. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renown Dermatology, Laser & Skin Care.

The provider's business location address is:

6536 S MCCARRAN BLVD STE B
RENO, NV
ZIP 89509-152
Phone: (775) 982-8255
Fax: (775) 982-8252

The provider's authorized official is Ann T Beck .
The authorized official title is Cfo and has the following contact phone number (775) 982-6488.

The CLIA number assigned to this NPI record is 29D2169393 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/6/2018 and was last updated on 2/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerNo
3363LA2200XNurse PractitionerAdult HealthNo
4207N00000XDermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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