Downey Dermatologic Medical Group Inc in Downey - Specialist
Downey Dermatologic Medical Group Inc - NPI 1356425888
Downey Dermatologic Medical Group Inc is a Specialist in Downey, California. Downey Dermatologic Medical Group Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Downey Dermatologic Medical Group Inc is 1356425888. The last update date is 2010-10-27.
Downey Dermatologic Medical Group Inc's current location address is 11480 Brookshire Ave Ste 109, Downey, California. You can contact this provider via phone number 5628692478 and fax number 5628611229. The mailing address for Downey Dermatologic Medical Group Inc is 11480 Brookshire Ave Ste 109, Downey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Downey Dermatologic Medical Group Inc |
|---|---|
| Address | 11480 Brookshire Ave Ste 109, Downey, California |
| Phone Number | 5628692478 |
| Fax Number | 5628611229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Greeson Patrick Terrence |
| Credentials | M.D. |
| Telephone Number | 5628692478 |
NPI Number Detail
| NPI Number | 1356425888 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | 11480 Brookshire Ave Ste 109 |
|---|---|
| City | Downey |
| State | California (CA) |
| Post Code | 902415022 |
| Phone Number | 5628692478 |
| Fax Number | 5628611229 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70008435 | CA | RAILROAD MEDICARE | |
| GR0085810 | CA | -- | |
| 70008463 | CA | RAILROAD MEDICARE | |
| ZZZ98655Z | CA | BLUE SHIELD | |
| DD1100 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Downey Dermatologic Medical Group Inc's unique identification number?
The Downey Dermatologic Medical Group Inc has been assigned the NPI (National Provider Identifier) Number 1356425888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Downey Dermatologic Medical Group Inc is located?
The Downey Dermatologic Medical Group Inc is situated at the following address: 11480 Brookshire Ave Ste 109, Downey, CA, 902415022.
What is the Downey Dermatologic Medical Group Inc's specialty and taxonomy code?
The Downey Dermatologic Medical Group Inc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Downey Dermatologic Medical Group Inc receive its 1356425888 assignment from the Centers for Medicare & Medicaid Services?
The Downey Dermatologic Medical Group Inc was assigned its 1356425888 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Downey Dermatologic Medical Group Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Downey Dermatologic Medical Group Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-27.