Foothill Dermatology Medical Center in Glendora - Specialist

Foothill Dermatology Medical Center - NPI 1154592368

Foothill Dermatology Medical Center is a Specialist in Glendora, California. Foothill Dermatology Medical Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for Foothill Dermatology Medical Center is 1154592368. The last update date is 2018-06-16.

Foothill Dermatology Medical Center's current location address is 2301 E Foothill Blvd, Glendora, California. You can contact this provider via phone number 6268523376 and fax number 6268523375. The mailing address for Foothill Dermatology Medical Center is 2301 E Foothill Blvd, Glendora, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Foothill Dermatology Medical Center
Address 2301 E Foothill Blvd, Glendora, California
Phone Number 6268523376
Fax Number 6268523375
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Sidhu S Amarpaul
Credentials M.D.,
Telephone Number 6268523376

NPI Number Detail

NPI Number 1154592368
Provider Enumeration Date 2008-03-14
Last Updated Date 2018-06-16

Provider Mailing Address Detail

Address 2301 E Foothill Blvd
City Glendora
State California (CA)
Post Code 917404000
Phone Number 6268523376
Fax Number 6268523375

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A73248
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
00A732480 CA --

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FAQs about Foothill Dermatology Medical Center

What is the unique 10-digit identifier code issued to Foothill Dermatology Medical Center by the Centers for Medicare & Medicaid Services?

The Foothill Dermatology Medical Center has been assigned the NPI (National Provider Identifier) 1154592368 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Foothill Dermatology Medical Center?

The Foothill Dermatology Medical Center is situated at 2301 E Foothill Blvd, in the city of Glendora, state of CA, with the zip code 917404000.

What is Foothill Dermatology Medical Center's specialized field of practice, and what is the corresponding taxonomy classification code?

The Foothill Dermatology Medical Center's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

When was the Foothill Dermatology Medical Center's 1154592368 issued?

The Foothill Dermatology Medical Center's 1154592368 was issued on 2008-03-14.

When was the information regarding Foothill Dermatology Medical Center most recently updated?

The details pertaining to the Foothill Dermatology Medical Center, including its address, specialty, and other relevant information, were last refreshed on 2018-06-16.

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