American Dermatology Centers

NPI 1154609584 - Dermatology - 207N00000X

NPI Details
NPI 1154609584
Enumeration Date 08/02/2011
Last Updated 08/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GLENN NEIL GLENN
Position OWNER/ MEDICAL DIRECTOR
Phone (310) 360-6661
Fax (310) 360-6669
Practice Location
416 N BEDFORD DR
SUITE 306
BEVERLY HILLS CA, 90210-4322, US
Phone (310) 360-6661
Fax (310) 360-6669
Business Location
PO BOX 15717
BEVERLY HILLS CA, 90209-1717, US
Phone (310) 360-6661
Fax (310) 360-6669
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G44761
Remove 1154609584 NPI Number
 

According to our database, American Dermatology Centers NPI is 1154609584, taxonomy code is 207N00000X and license number is G44761, license state is located at California. American Dermatology Centers physically located at 416 N Bedford Dr, Beverly Hills CA, 90210-4322. NPI Number 1033115704 has the healthcare provider type.

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1154609584 NPI number is provided on an as is basis without warranty of any kind. 1154609584 is maintained by the National Plan & Provider Enumeration System. The contents of American Dermatology Centers are for informational purposes only.