Dermatology Associates Of Westlake in Westlake Village - Specialist
Dermatology Associates Of Westlake - NPI 1265401251
Dermatology Associates Of Westlake is a Specialist in Westlake Village, California. Dermatology Associates Of Westlake practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Associates Of Westlake is 1265401251. The last update date is 2010-09-07.
Dermatology Associates Of Westlake's current location address is 1240 S Westlake Blvd, Westlake Village, California. You can contact this provider via phone number 8054950551 and fax number 8054968079. The mailing address for Dermatology Associates Of Westlake is 1240 S Westlake Blvd, Westlake Village, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dermatology Associates Of Westlake |
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Address | 1240 S Westlake Blvd, Westlake Village, California |
Phone Number | 8054950551 |
Fax Number | 8054968079 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PARTNER |
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Authorized Official Name | Capri Randolph |
Credentials | MD |
Telephone Number | 8054950551 |
NPI Number Detail
NPI Number | 1265401251 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2010-09-07 |
Provider Mailing Address Detail
Address | 1240 S Westlake Blvd |
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City | Westlake Village |
State | California (CA) |
Post Code | 913611929 |
Phone Number | 8054950551 |
Fax Number | 8054968079 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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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 |
---|---|---|---|
1265401251 | CA | NPI |
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What is the unique identification code assigned to Dermatology Associates Of Westlake by the Centers for Medicare & Medicaid Services?
The Dermatology Associates Of Westlake has been issued the NPI (National Provider Identifier) 1265401251. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dermatology Associates Of Westlake?
The Dermatology Associates Of Westlake is situated at 1240 S Westlake Blvd, in the city of Westlake Village, state of CA, with the zip code 913611929.
What is the Dermatology Associates Of Westlake's specialty and taxonomy code?
The Dermatology Associates Of Westlake's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265401251 to Dermatology Associates Of Westlake?
The Centers for Medicare & Medicaid Services assigned the 1265401251 to Dermatology Associates Of Westlake on 2006-03-14.
When was the Dermatology Associates Of Westlake's information last updated?
The Dermatology Associates Of Westlake's information was last updated on 2010-09-07.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT