Mid Valley Dermatology in Sherman Oaks - Procedural Dermatology
Mid Valley Dermatology - NPI 1235335902
Mid Valley Dermatology is a Procedural Dermatology in Sherman Oaks, California. Mid Valley Dermatology practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Mid Valley Dermatology is 1235335902. The last update date is 2008-11-11.
Mid Valley Dermatology's current location address is 4836 Van Nuys Blvd, Sherman Oaks, California. You can contact this provider via phone number 8189077546 and fax number 8189079506. The mailing address for Mid Valley Dermatology is 4836 Van Nuys Blvd, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid Valley Dermatology |
|---|---|
| Address | 4836 Van Nuys Blvd, Sherman Oaks, California |
| Phone Number | 8189077546 |
| Fax Number | 8189079506 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING SU |
|---|---|
| Authorized Official Name | Lucas Taylor Rocelyn |
| Telephone Number | 8189077546 |
NPI Number Detail
| NPI Number | 1235335902 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2008-11-11 |
Provider Mailing Address Detail
| Address | 4836 Van Nuys Blvd |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 914032101 |
| Phone Number | 8189077546 |
| Fax Number | 8189079506 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | G21007 |
|
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 |
|---|---|---|---|
| A41138 | CA | ALLAN S. WIRTZER, MD, MEDICAL | |
| G21007 | CA | ALLAN S. WIRTZER, MD, MEDICAL | |
| 1326003161 | CA | ALLAN S. WIRTZER, MD, MEDICAL |
Post Comment/ Review Below
What is the Mid Valley Dermatology's unique identification number?
The Mid Valley Dermatology has been assigned the NPI (National Provider Identifier) Number 1235335902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mid Valley Dermatology's facilities are geographically located?
The facilities of Mid Valley Dermatology are physically situated at the following location: 4836 Van Nuys Blvd, Sherman Oaks, CA, 914032101.
What is Mid Valley Dermatology's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mid Valley Dermatology's specialized field of practice is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ns0135X.
On what date was the 1235335902 assigned to Mid Valley Dermatology?
The Mid Valley Dermatology was issued its 1235335902 on 2007-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mid Valley Dermatology, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mid Valley Dermatology, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-11-11.