Affiliates In Dermatology Medical Group, INC.
Dermatology in Oakland, CA. Organization (NPI-2).
NPI number1851403521
StatusActive
Last updated in NPPESDec 28, 2016
Details
- NPI
- 1851403521
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliates In Dermatology Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Dec 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207NI0002X | Dermatology, Clinical & Laboratory Dermatological Immunology | – | – |
Other names
- Affiliates In Dermatology (Doing Business As)
Practice location
460 34th StreetOakland, CA 94609
Phone 510-652-8091 · Fax 510-652-5156
Mailing address
460 34th StreetOakland, CA 94609
Phone 510-652-8091 · Fax 510-652-5156
Authorized official
David Paslin
President
5106522926
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