Brentwood Dermatology Medical Group in Los Angeles - Dermatology
Brentwood Dermatology Medical Group - NPI 1427089911
Brentwood Dermatology Medical Group is a Dermatology in Los Angeles, California. Brentwood Dermatology Medical Group practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Brentwood Dermatology Medical Group is 1427089911. The last update date is 2020-08-22.
Brentwood Dermatology Medical Group's current location address is 11980 San Vicente Blvd., Los Angeles, California. You can contact this provider via phone number 3108262051 and fax number 3109790185. The mailing address for Brentwood Dermatology Medical Group is 11980 San Vicente Blvd., Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brentwood Dermatology Medical Group |
|---|---|
| Address | 11980 San Vicente Blvd., Los Angeles, California |
| Phone Number | 3108262051 |
| Fax Number | 3109790185 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Silvers H Jack |
| Credentials | M.D. |
| Telephone Number | 3108262051 |
NPI Number Detail
| NPI Number | 1427089911 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11980 San Vicente Blvd. |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90049 |
| Phone Number | 3108262051 |
| Fax Number | 3109790185 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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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What is the Brentwood Dermatology Medical Group's unique identification number?
The Brentwood Dermatology Medical Group has been assigned the NPI (National Provider Identifier) Number 1427089911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Brentwood Dermatology Medical Group is physically located?
The Brentwood Dermatology Medical Group is physically situated at the following address: 11980 San Vicente Blvd., Los Angeles, CA, 90049.
What is Brentwood Dermatology Medical Group's area of expertise and its corresponding taxonomy classification?
The Brentwood Dermatology Medical Group's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Brentwood Dermatology Medical Group receive its 1427089911 assignment from the Centers for Medicare & Medicaid Services?
The Brentwood Dermatology Medical Group was assigned its 1427089911 on 2006-07-05, 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 regarding Brentwood Dermatology Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brentwood Dermatology Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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