Bernardo Dermatology Medical Group Inc in Poway - Mohs-micrographic Surgery
Bernardo Dermatology Medical Group Inc - NPI 1407950785
Bernardo Dermatology Medical Group Inc is a Mohs-micrographic Surgery in Poway, California. Bernardo Dermatology Medical Group Inc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Bernardo Dermatology Medical Group Inc is 1407950785. The last update date is 2007-11-06.
Bernardo Dermatology Medical Group Inc's current location address is 15525 Pomerado Rd, Poway, California. You can contact this provider via phone number 8584513311 and fax number 8584511142. The mailing address for Bernardo Dermatology Medical Group Inc is 15525 Pomerado Rd, Poway, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bernardo Dermatology Medical Group Inc |
|---|---|
| Address | 15525 Pomerado Rd, Poway, California |
| Phone Number | 8584513311 |
| Fax Number | 8584511142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Larson Ann Ruth |
| Credentials | MD |
| Telephone Number | 8584513311 |
NPI Number Detail
| NPI Number | 1407950785 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 15525 Pomerado Rd |
|---|---|
| City | Poway |
| State | California (CA) |
| Post Code | 920642435 |
| Phone Number | 8584513311 |
| Fax Number | 8584511142 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | G41388 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the unique identification code assigned to Bernardo Dermatology Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Bernardo Dermatology Medical Group Inc has been issued the NPI (National Provider Identifier) 1407950785. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bernardo Dermatology Medical Group Inc is located?
The Bernardo Dermatology Medical Group Inc is situated at the following address: 15525 Pomerado Rd, Poway, CA, 920642435.
What is Bernardo Dermatology Medical Group Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bernardo Dermatology Medical Group Inc's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.
When was the Bernardo Dermatology Medical Group Inc's 1407950785 issued?
The Bernardo Dermatology Medical Group Inc's 1407950785 was issued on 2006-09-08.
As of what date were the details pertaining to Bernardo Dermatology Medical Group Inc last refreshed?
The information related to the Bernardo Dermatology Medical Group Inc, including its address, specialty, and other relevant details, was last updated on 2007-11-06.