San Luis Dermatology & Laser Clinic Inc in San Luis Obispo - Dermatology
San Luis Dermatology & Laser Clinic Inc - NPI 1568431500
San Luis Dermatology & Laser Clinic Inc is a Dermatology in San Luis Obispo, California. San Luis Dermatology & Laser Clinic Inc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for San Luis Dermatology & Laser Clinic Inc is 1568431500. The last update date is 2017-04-19.
San Luis Dermatology & Laser Clinic Inc's current location address is 15 Santa Rosa St, San Luis Obispo, California. You can contact this provider via phone number 8055412650 and fax number 8055414043. The mailing address for San Luis Dermatology & Laser Clinic Inc is 15 Santa Rosa St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Luis Dermatology & Laser Clinic Inc |
|---|---|
| Address | 15 Santa Rosa St, San Luis Obispo, California |
| Phone Number | 8055412650 |
| Fax Number | 8055414043 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Herten Jeffrey R |
| Credentials | MD |
| Telephone Number | 8055412650 |
NPI Number Detail
| NPI Number | 1568431500 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2017-04-19 |
Provider Mailing Address Detail
| Address | 15 Santa Rosa St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934051811 |
| Phone Number | 8055412650 |
| Fax Number | 8055414043 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
|
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 San Luis Dermatology & Laser Clinic Inc's 1568431500?
The San Luis Dermatology & Laser Clinic Inc's NPI (National Provider Identifier) Number is 1568431500. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where San Luis Dermatology & Laser Clinic Inc is geographically located?
The San Luis Dermatology & Laser Clinic Inc is physically situated at the following location: 15 Santa Rosa St, San Luis Obispo, CA, 934051811.
What is San Luis Dermatology & Laser Clinic Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for San Luis Dermatology & Laser Clinic Inc is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
When was the San Luis Dermatology & Laser Clinic Inc's 1568431500 issued?
The San Luis Dermatology & Laser Clinic Inc's 1568431500 was issued on 2006-03-14.
As of what date were the details related to San Luis Dermatology & Laser Clinic Inc most recently updated or revised?
The information pertaining to San Luis Dermatology & Laser Clinic Inc, including its address, specialty, and other relevant details, was last updated or revised on 2017-04-19.
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