Provider Type Icon

ADVANCED DERMATOLOGY AND SKIN SURGERY INC NPI 1841644804


NPI Information

NPI: 1841644804
Provider Name: ADVANCED DERMATOLOGY AND SKIN SURGERY INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0952859

Address:
14830 LOS GATOS BLVD STE 100
LOS GATOS, CA
ZIP 95032
Phone: (408) 358-1256
Get Directions

ADVANCED DERMATOLOGY AND SKIN SURGERY INC is a specialist in Los Gatos, 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. ADVANCED DERMATOLOGY AND SKIN SURGERY INC NPI is 1841644804. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14830 LOS GATOS BLVD STE 100
LOS GATOS, CA
ZIP 95032-053
Phone: (408) 358-1256
Fax: (408) 358-1826

The provider's authorized official is Yi-pin Tsao .
The authorized official title is Practice Manager and has the following contact phone number (408) 217-1905.

The CLIA number assigned to this NPI record is 05D0952859 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/15/2016 and was last updated on 4/15/2016.


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
1174400000XSpecialistA97430CALIFORNIAYes

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

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.