Pamela Broska in Los Angeles - Procedural Dermatology
Pamela Broska - NPI 1770535304
Pamela Broska is a Procedural Dermatology in Los Angeles, California. Pamela Broska practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Pamela Broska is 1770535304. The last update date is 2013-06-13.
Pamela Broska's current location address is Po Box 894830, Los Angeles, California. You can contact this provider via phone number 7609695900 and fax number 7609695911. The mailing address for Pamela Broska is Po Box 894830, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Broska |
|---|---|
| Address | Po Box 894830, Los Angeles, California |
| Phone Number | 7609695900 |
| Fax Number | 7609695911 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770535304 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2013-06-13 |
Provider Mailing Address Detail
| Address | Po Box 894830 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 901894830 |
| Phone Number | 7609695900 |
| Fax Number | 7609695911 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | G61351 |
|
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 |
|---|---|---|---|
| 00G613512 | CA | INDIVIDUAL PTAN | |
| 70013862 | CA | RAILROAD MEDICARE |
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What is the unique 10-digit identification code issued to Pamela Broska by the Centers for Medicare & Medicaid Services?
The Pamela Broska has been assigned the NPI (National Provider Identifier) 1770535304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Pamela Broska's physical address?
The Pamela Broska is physically located at Po Box 894830, in the city of Los Angeles, CA, with the postal code 901894830.
What is Pamela Broska's area of expertise and its corresponding taxonomy classification?
The Pamela Broska'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 1770535304 assigned to Pamela Broska?
The Pamela Broska was issued its 1770535304 on 2006-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pamela Broska's details last updated?
The information pertaining to the Pamela Broska, including its address, specialty, and other details, was most recently updated on 2013-06-13.
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