Dermatology And Laser Group Of Irvine, A Medical Corporation in Irvine - Specialist

Dermatology And Laser Group Of Irvine, A Medical Corporation - NPI 1154493369

Dermatology And Laser Group Of Irvine, A Medical Corporation is a Specialist in Irvine, California. Dermatology And Laser Group Of Irvine, A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology And Laser Group Of Irvine, A Medical Corporation is 1154493369. The last update date is 2012-02-27.

Dermatology And Laser Group Of Irvine, A Medical Corporation's current location address is 16300 Sand Canyon Ave, Irvine, California. You can contact this provider via phone number 9497531001 and fax number 9497531115. The mailing address for Dermatology And Laser Group Of Irvine, A Medical Corporation is 16300 Sand Canyon Ave, Irvine, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dermatology And Laser Group Of Irvine, A Medical Corporation
Address 16300 Sand Canyon Ave, Irvine, California
Phone Number 9497531001
Fax Number 9497531115
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Globerman M Linda
Credentials MD
Telephone Number 9497531001

NPI Number Detail

NPI Number 1154493369
Provider Enumeration Date 2006-11-14
Last Updated Date 2012-02-27

Provider Mailing Address Detail

Address 16300 Sand Canyon Ave
City Irvine
State California (CA)
Post Code 926183711
Phone Number 9497531001
Fax Number 9497531115

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G34628
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
BS373 CA MEDICARE GROUP PTAN

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FAQs about Dermatology And Laser Group Of Irvine, A Medical Corporation

What is the unique identifier code issued to Dermatology And Laser Group Of Irvine, A Medical Corporation by the Centers for Medicare & Medicaid Services?

The Dermatology And Laser Group Of Irvine, A Medical Corporation has been assigned the NPI (National Provider Identifier) 1154493369. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dermatology And Laser Group Of Irvine, A Medical Corporation is physically located?

The Dermatology And Laser Group Of Irvine, A Medical Corporation is physically situated at the following address: 16300 Sand Canyon Ave, Irvine, CA, 926183711.

What is Dermatology And Laser Group Of Irvine, A Medical Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dermatology And Laser Group Of Irvine, A Medical Corporation is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Dermatology And Laser Group Of Irvine, A Medical Corporation receive the assignment of its 1154493369 from the Centers for Medicare & Medicaid Services?

The Dermatology And Laser Group Of Irvine, A Medical Corporation was issued its 1154493369 by the Centers for Medicare & Medicaid Services on 2006-11-14.

As of what date were the details pertaining to Dermatology And Laser Group Of Irvine, A Medical Corporation last refreshed?

The information related to the Dermatology And Laser Group Of Irvine, A Medical Corporation, including its address, specialty, and other relevant details, was last updated on 2012-02-27.

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