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BAYSIDE DERMATOLOGY INCORPORATED NPI 1982803821


NPI Information

NPI: 1982803821
Provider Name: BAYSIDE DERMATOLOGY INCORPORATED
Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
8174 REGENTS RD APT 303
SAN DIEGO, CA
ZIP 92122
Phone: (858) 552-8096
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BAYSIDE DERMATOLOGY INCORPORATED is a dermatology in San Diego, CA. 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. BAYSIDE DERMATOLOGY INCORPORATED NPI is 1982803821. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8174 REGENTS RD APT 303
SAN DIEGO, CA
ZIP 92122-371
Phone: (858) 552-8096

The provider's authorized official is Bryan Chen .
The authorized official title is Owner and has the following contact phone number (858) 552-8096.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryA79823CALIFORNIANo
2207ND0900XDermatologyDermatopathologyA79823CALIFORNIANo
3207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyA79823CALIFORNIANo
4207NS0135XDermatologyProcedural DermatologyA79823CALIFORNIANo
5207NP0225XDermatologyPediatric DermatologyA79823CALIFORNIANo
6207N00000XDermatologyA79823CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I64998MEDICARE UPINCALIFORNIA
2WA79823AMEDICARE PINCALIFORNIA

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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