Heber House INC. Dba Dermatology Center
Dermatology in Fortuna, CA. Organization (NPI-2).
NPI number1730438151
StatusActive
Last updated in NPPESAug 30, 2012
Details
- NPI
- 1730438151
- Entity type
- Organization (NPI-2)
- Legal business name
- Heber House INC. Dba Dermatology Center
- Organization subpart
- No
- Enumeration date
- Aug 30, 2012
- Last updated
- Aug 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | G066333 | CA | Yes |
Practice location
2404 Newburg Rd.Fortuna, CA 95540
Phone 707-725-8770 · Fax 707-725-8773
Mailing address
2404 Newburg Rd.Fortuna, CA 95540
Phone 707-725-8770 · Fax 707-725-8773
Authorized official
Arlene R. Guccione
Office Manager
7078342400
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