John Keith Nylund in Hawthorne - Dermatology
John Keith Nylund - NPI 1407029069
John Keith Nylund is a Dermatology in Hawthorne, California. John Keith Nylund practices all healthcare services and medical treatments related to Dermatology. The NPI Number for John Keith Nylund is 1407029069. The last update date is 2008-09-25.
John Keith Nylund's current location address is 14650 Aviation Blvd, Hawthorne, California. You can contact this provider via phone number 3106439333 and fax number 3106439337. The mailing address for John Keith Nylund is 14650 Aviation Blvd, Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Keith Nylund |
|---|---|
| Address | 14650 Aviation Blvd, Hawthorne, California |
| Phone Number | 3106439333 |
| Fax Number | 3106439337 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407029069 |
|---|---|
| Provider Enumeration Date | 2008-04-03 |
| Last Updated Date | 2008-09-25 |
Provider Mailing Address Detail
| Address | 14650 Aviation Blvd |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902506668 |
| Phone Number | 3106439333 |
| Fax Number | 3106439337 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | CO34111 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| WWH7CB | CA | PASSWORD FOR PALMETTO | |
| CO34111 | CA | STATE MEDICAL LISCECE | |
| W9243 | CA | PPTAN # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Keith Nylund by the Centers for Medicare & Medicaid Services?
The John Keith Nylund has been issued the NPI (National Provider Identifier) 1407029069 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John Keith Nylund's physical address?
The John Keith Nylund is physically located at 14650 Aviation Blvd, in the city of Hawthorne, CA, with the postal code 902506668.
What is the John Keith Nylund's specialty and taxonomy code?
The John Keith Nylund's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the John Keith Nylund receive its 1407029069 assignment from the Centers for Medicare & Medicaid Services?
The John Keith Nylund was assigned its 1407029069 by the Centers for Medicare & Medicaid Services on 2008-04-03.
As of what date was the information regarding John Keith Nylund, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Keith Nylund, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-25.