Golden State Dermatology Associates, Inc. in Walnut Creek - Dermatology
Golden State Dermatology Associates, Inc. - NPI 1700860871
Golden State Dermatology Associates, Inc. is a Dermatology in Walnut Creek, California. Golden State Dermatology Associates, Inc. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Golden State Dermatology Associates, Inc. is 1700860871. The last update date is 2023-03-07.
Golden State Dermatology Associates, Inc.'s current location address is 370 N Wiget Ln Ste 250, Walnut Creek, California. You can contact this provider via phone number 9259457005 and fax number 9259541822. The mailing address for Golden State Dermatology Associates, Inc. is 370 N Wiget Ln Ste 250, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Golden State Dermatology Associates, Inc. |
|---|---|
| Address | 370 N Wiget Ln Ste 250, Walnut Creek, California |
| Phone Number | 9259457005 |
| Fax Number | 9259541822 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MEDI |
|---|---|
| Authorized Official Name | Bortz Thomas Jeffrey |
| Credentials | M.D. |
| Telephone Number | 9259327704 |
NPI Number Detail
| NPI Number | 1700860871 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 370 N Wiget Ln Ste 250 |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945982488 |
| Phone Number | 9259457005 |
| Fax Number | 9259541822 |
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A487440 | CA | LICENSE | |
| 05D096539 | CA | CLIA NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Golden State Dermatology Associates, Inc. by the Centers for Medicare & Medicaid Services?
The Golden State Dermatology Associates, Inc. has been assigned the NPI (National Provider Identifier) 1700860871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Golden State Dermatology Associates, Inc.'s physical address?
The Golden State Dermatology Associates, Inc. is physically located at 370 N Wiget Ln Ste 250, in the city of Walnut Creek, CA, with the postal code 945982488.
What is Golden State Dermatology Associates, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Golden State Dermatology Associates, Inc.'s specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When was the Golden State Dermatology Associates, Inc.'s 1700860871 issued?
The Golden State Dermatology Associates, Inc.'s 1700860871 was issued on 2005-12-02.
When was the Golden State Dermatology Associates, Inc.'s information last updated?
The Golden State Dermatology Associates, Inc.'s information was last updated on 2023-03-07.