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DERMATOLOGY PATHOLOGY MEDICAL GROUP INC NPI 1548456825

NPI Profile

NPI: 1548456825

Provider Name: DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC

Doing Business As: AMERICAN WEST SKIN PATHOLOGY CONSULTATION SERVICE

Classification: Allergy & Immunology - 207K00000X

Entity Type: Organization

Address:
1007 LIVE OAK BLVD
STE A-1
YUBA CITY, CA
ZIP 95991

Phone: (530) 673-3790

DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC is an allergist in Yuba City, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC NPI is 1548456825. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As American West Skin Pathology Consultation Service.

The provider's business location address is:

1007 LIVE OAK BLVD
STE A-1
YUBA CITY, CA
ZIP 95991-454
Phone: (530) 673-3790
Fax: (530) 673-5642

The provider's authorized official is Leon Melvin Edelstein .
The authorized official title is President and has the following contact phone number (530) 673-3790.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.

Map - Location of Practice

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207K00000X Allergy & Immunology 00A192080 CALIFORNIA No
2 207N00000X Dermatology 00A192080 CALIFORNIA No
3 207NP0225X Dermatology Pediatric Dermatology 00A192080 CALIFORNIA No
4 207NS0135X Dermatology Procedural Dermatology 00A192080 CALIFORNIA No
5 207ZD0900X Pathology Dermatopathology 00A192080 CALIFORNIA No
6 207ZI0100X Pathology Immunopathology 00A192080 CALIFORNIA No
7 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology 00A192080 CALIFORNIA No
8 207ZP0213X Pathology Pediatric Pathology 00A192080 CALIFORNIA No
9 208D00000X General Practice 00A192080 CALIFORNIA No
10 209800000X Legal Medicine 00A192080 CALIFORNIA No
11 207ND0900X Dermatology Dermatopathology 00A192080 CALIFORNIA Yes

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: 6/10/2015