Kerry Diantha Zandee Van Rilland, MD
Dermatology in San Mateo, CA. Individual provider (NPI-1).
NPI number1982136586
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1982136586
- Entity type
- Individual (NPI-1)
- Name
- Kerry Diantha Zandee Van Rilland
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2017
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 177050 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207R00000X | Internal Medicine | 287028 | MA |
Other names
- Kerry Diantha Heitmiller (Former Name)
Practice location
280 Baldwin AveSan Mateo, CA 94401-3915
Phone 650-727-6008
Mailing address
280 Baldwin AveSan Mateo, CA 94401-3915
Phone 650-727-6008
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All 14 Dermatology Physician providers in San Mateo · All 4,655 providers in San Mateo
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