NPI 1619351707 EL SEGUNDO DERMATOLOGY, INC. EL SEGUNDO CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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El Segundo Dermatology, Inc. - NPI: 1619351707

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: EL SEGUNDO DERMATOLOGY, INC.
NPI Number: 1619351707
Entity Type Code: Organizational (2)
Authorized Official Name: JILL HOLLY JAVAHERY
(DOCTOR)
Mailing Address: 713 N Douglas St.
El Segundo
State: CA US
Postal Code: 90245
Phone Number: 3109062788
Fax Number: 3109062786
NPI Enumeration Date: 07/17/2015
NPI Last Update Date: 02/09/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 174400000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Other Service Providers
Taxonomy Classification: Specialist
Taxonomy Specialization:
Taxonomy Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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