Cal Dermatology PC
Dermatology in Santa Barbara, CA. Organization (NPI-2).
NPI number1366084584
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1366084584
- Entity type
- Organization (NPI-2)
- Legal business name
- Cal Dermatology PC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
2323 De La Vina St Ste 101Santa Barbara, CA 93105-3878
Phone 773-263-5929
Mailing address
2323 De La Vina St Ste 101Santa Barbara, CA 93105-3878
Phone 805-869-6544
Authorized official
Elizabeth Grossman
President
8058696544
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