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PACIFIC SKIN INSTITUTE NPI 1184027104


NPI Information

NPI: 1184027104
Provider Name: PACIFIC SKIN INSTITUTE
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 05D0984472

Address:
1495 RIVER PARK DR
SUITE 200
SACRAMENTO, CA
ZIP 95815
Phone: (916) 925-7020
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PACIFIC SKIN INSTITUTE is a procedural dermatology dermatology in Sacramento, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). PACIFIC SKIN INSTITUTE NPI is 1184027104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1495 RIVER PARK DR
SUITE 200
SACRAMENTO, CA
ZIP 95815-500
Phone: (916) 925-7020
Fax: (916) 925-3680

The provider's authorized official is An Yen .
The authorized official title is Partner and has the following contact phone number (916) 925-6950.

The CLIA number assigned to this NPI record is 05D0984472 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/5/2014 and was last updated on 7/9/2021.


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
1207NS0135XDermatologyProcedural DermatologyA056462CALIFORNIAYes

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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