Dale A Kooistra is a Dermatology in Poway, California. Dale A Kooistra practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dale A Kooistra is 1831182971. The last update date is 2007-07-08.
Dale A Kooistra's current location address is 15525 Pomerado Rd, Poway, California. You can contact this provider via phone number 8586758001 and fax number 8584871337. The mailing address for Dale A Kooistra is 15525 Pomerado Rd, Poway, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale A Kooistra |
|---|---|
| Address | 15525 Pomerado Rd, Poway, California |
| Phone Number | 8586758001 |
| Fax Number | 8584871337 |
| Sole Proprietor | X |
| Credentials | M.D., PHD. |
NPI Number Detail
| NPI Number | 1831182971 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15525 Pomerado Rd |
|---|---|
| City | Poway |
| State | California (CA) |
| Post Code | 920642435 |
| Phone Number | 8586758001 |
| Fax Number | 8584871337 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | G55734 |
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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 |
|---|---|---|---|
| 00G557340 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dale A Kooistra by the Centers for Medicare & Medicaid Services (CMS)?
The Dale A Kooistra has been assigned the NPI (National Provider Identifier) 1831182971. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dale A Kooistra located?
The Dale A Kooistra is located at 15525 Pomerado Rd, Poway, CA 920642435.
What is Dale A Kooistra's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dale A Kooistra's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When did the Dale A Kooistra receive its 1831182971?
The Dale A Kooistra was issued its 1831182971 on 2005-08-24, which is the date when the organization was assigned this unique identifier.
When was the information regarding Dale A Kooistra, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dale A Kooistra, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.