Green Dermatologic Medical Group A Medical Corporation in San Clemente - Specialist
Green Dermatologic Medical Group A Medical Corporation - NPI 1154533685
Green Dermatologic Medical Group A Medical Corporation is a Specialist in San Clemente, California. Green Dermatologic Medical Group A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Green Dermatologic Medical Group A Medical Corporation is 1154533685. The last update date is 2018-05-04.
Green Dermatologic Medical Group A Medical Corporation's current location address is 657 Camino De Los Mares Ste 242, San Clemente, California. You can contact this provider via phone number 9494966066 and fax number 9494966497. The mailing address for Green Dermatologic Medical Group A Medical Corporation is 657 Camino De Los Mares Ste 242, San Clemente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Dermatologic Medical Group A Medical Corporation |
|---|---|
| Address | 657 Camino De Los Mares Ste 242, San Clemente, California |
| Phone Number | 9494966066 |
| Fax Number | 9494966497 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DO |
|---|---|
| Authorized Official Name | Green E Roger |
| Credentials | M. D. |
| Telephone Number | 9494966066 |
NPI Number Detail
| NPI Number | 1154533685 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2018-05-04 |
Provider Mailing Address Detail
| Address | 657 Camino De Los Mares Ste 242 |
|---|---|
| City | San Clemente |
| State | California (CA) |
| Post Code | 926732811 |
| Phone Number | 9494966066 |
| Fax Number | 9494966497 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | C36384 |
|
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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Green Dermatologic Medical Group A Medical Corporation by the Centers for Medicare & Medicaid Services?
The Green Dermatologic Medical Group A Medical Corporation has been assigned the NPI (National Provider Identifier) 1154533685. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Green Dermatologic Medical Group A Medical Corporation's physical address?
The Green Dermatologic Medical Group A Medical Corporation is physically located at 657 Camino De Los Mares Ste 242, in the city of San Clemente, CA, with the postal code 926732811.
What is Green Dermatologic Medical Group A Medical Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Green Dermatologic Medical Group A Medical Corporation is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Green Dermatologic Medical Group A Medical Corporation receive its 1154533685 assignment from the Centers for Medicare & Medicaid Services?
The Green Dermatologic Medical Group A Medical Corporation was assigned its 1154533685 on 2007-05-04, 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 Green Dermatologic Medical Group A Medical Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Green Dermatologic Medical Group A Medical Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-05-04.