South Bay Skin & Cancer Medical Group, Inc. in Chula Vista - Procedural Dermatology
South Bay Skin & Cancer Medical Group, Inc. - NPI 1033289574
South Bay Skin & Cancer Medical Group, Inc. is a Procedural Dermatology in Chula Vista, California. South Bay Skin & Cancer Medical Group, Inc. practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for South Bay Skin & Cancer Medical Group, Inc. is 1033289574. The last update date is 2022-03-14.
South Bay Skin & Cancer Medical Group, Inc.'s current location address is 256 Landis Ave, Chula Vista, California. You can contact this provider via phone number 6194269600 and fax number 6194264112. The mailing address for South Bay Skin & Cancer Medical Group, Inc. is 256 Landis Ave, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bay Skin & Cancer Medical Group, Inc. |
|---|---|
| Address | 256 Landis Ave, Chula Vista, California |
| Phone Number | 6194269600 |
| Fax Number | 6194264112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Rullan Paul Peter |
| Credentials | M.D. |
| Telephone Number | 6194269600 |
NPI Number Detail
| NPI Number | 1033289574 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2022-03-14 |
Provider Mailing Address Detail
| Address | 256 Landis Ave |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919102650 |
| Phone Number | 6194269600 |
| Fax Number | 6194264112 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | G42243 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ73699Z | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Bay Skin & Cancer Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The South Bay Skin & Cancer Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1033289574 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where South Bay Skin & Cancer Medical Group, Inc. is physically located?
The South Bay Skin & Cancer Medical Group, Inc. is situated at the following address: 256 Landis Ave, Chula Vista, CA 919102650.
What is South Bay Skin & Cancer Medical Group, Inc.'s area of expertise and its corresponding taxonomy classification?
The South Bay Skin & Cancer Medical Group, Inc.'s field of specialization is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1033289574 assigned to South Bay Skin & Cancer Medical Group, Inc.?
The South Bay Skin & Cancer Medical Group, Inc. was issued its 1033289574 on 2006-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to South Bay Skin & Cancer Medical Group, Inc. most recently updated or revised?
The details related to South Bay Skin & Cancer Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2022-03-14.
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