MID VALLEY DERMATOLOGY NPI 1235335902

NPI Information

  • NPI: 1235335902
  • Provider Name: MID VALLEY DERMATOLOGY
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Other Name: ALLAN S WIRTZER MD
  • Address: 4836 VAN NUYS BLVD
    SHERMAN OAKS, CA
    ZIP 91403
  • Phone: (818) 907-7546

Map and Directions

Get Directions

NPI Details

MID VALLEY DERMATOLOGY is a procedural dermatology dermatology in Sherman Oaks, 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). MID VALLEY DERMATOLOGY NPI is 1235335902. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Allan S Wirtzer Md.

The provider's business location address is:

4836 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403-101
Phone: (818) 907-7546
Fax: (818) 907-9506

The provider's authorized official is Rocelyn Lucas Taylor .
The authorized official title is Billing Supervisor and has the following contact phone number (818) 907-7546.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 11/11/2008.

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
1207NS0135XDermatologyProcedural DermatologyG21007CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A41138OTHERCALIFORNIAALLAN S. WIRTZER, MD, MEDICAL DIRECTOR UPIN#
21326003161OTHERCALIFORNIAALLAN S. WIRTZER, MD, MEDICAL DIRECTOR NPI#
3G21007OTHERCALIFORNIAALLAN S. WIRTZER, MD, MEDICAL DIRECTOR ,CA LIC#
4W2835MEDICARE 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI