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DERMATOLOGY&LASER CENTER OF SAN DIEGO NPI 1457396178


NPI Information

NPI: 1457396178
Provider Name: DERMATOLOGY&LASER CENTER OF SAN DIEGO
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
319 F ST
102
CHULA VISTA, CA
ZIP 91910
Phone: (619) 476-1200
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DERMATOLOGY&LASER CENTER OF SAN DIEGO is a specialist in Chula Vista, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGY&LASER CENTER OF SAN DIEGO NPI is 1457396178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

319 F ST
102
CHULA VISTA, CA
ZIP 91910-666
Phone: (619) 476-1200
Fax: (619) 420-7849

The provider's authorized official is Sara Rosales .
The authorized official title is Insurance Specialist and has the following contact phone number (619) 476-1200.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 11/22/2011.


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
1174400000XSpecialistC36597CALIFORNIANo
2174400000XSpecialistA69750CALIFORNIANo
3174400000XSpecialistA94658CALIFORNIANo
4174400000XSpecialistA78399CALIFORNIAYes

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
1W16018MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 5/5/2024

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