is a Dermatology in Santa Maria, California. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for is 1790897254. The last update date is .
's current location address is 525 Plaza Dr, Santa Maria, California. You can contact this provider via phone number 8059223632 and fax number 8059223522. The mailing address for is 525 Plaza Dr, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 525 Plaza Dr, Santa Maria, California |
| Phone Number | 8059223632 |
| Fax Number | 8059223522 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790897254 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 525 Plaza Dr |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934546953 |
| Phone Number | 8059223632 |
| Fax Number | 8059223522 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 2889069 |
|
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 |
|---|---|---|---|
| CLM334547 | CA | CLIA REGISTRATION NUMBER- STAT | |
| 05D1064504 | CA | CLIA NUMBER |
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