James Lee Longabaugh in San Luis Obispo - Procedural Dermatology
James Lee Longabaugh - NPI 1053389247
James Lee Longabaugh is a Procedural Dermatology in San Luis Obispo, California. James Lee Longabaugh practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for James Lee Longabaugh is 1053389247. The last update date is 2012-06-22.
James Lee Longabaugh's current location address is 990 Pacific St, San Luis Obispo, California. You can contact this provider via phone number 8055445567 and fax number 8055443265. The mailing address for James Lee Longabaugh is 990 Pacific St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Lee Longabaugh |
|---|---|
| Address | 990 Pacific St, San Luis Obispo, California |
| Phone Number | 8055445567 |
| Fax Number | 8055443265 |
| Sole Proprietor | Y |
| Credentials | MD12 |
NPI Number Detail
| NPI Number | 1053389247 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2012-06-22 |
Provider Mailing Address Detail
| Address | 990 Pacific St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934016309 |
| Phone Number | 8055445567 |
| Fax Number | 8055443265 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | C-34894 |
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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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What is the unique 10-digit identifier code assigned to James Lee Longabaugh by the Centers for Medicare & Medicaid Services?
The James Lee Longabaugh has been issued the NPI (National Provider Identifier) 1053389247 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where James Lee Longabaugh is located?
The James Lee Longabaugh is situated at the following address: 990 Pacific St, San Luis Obispo, CA, 934016309.
What is James Lee Longabaugh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Lee Longabaugh is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.
On what date did the James Lee Longabaugh receive the assignment of its 1053389247 from the Centers for Medicare & Medicaid Services?
The James Lee Longabaugh was issued its 1053389247 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information related to James Lee Longabaugh most recently updated or refreshed?
The details pertaining to the James Lee Longabaugh, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-22.