Novato Dermatology Associates

NPI 1003960063 - Dermatology - 207N00000X

NPI Details
NPI 1003960063
Enumeration Date 01/23/2007
Last Updated 01/10/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIM S KIM
Position OWNER
Phone (415) 892-0754
Fax (415) 897-3204
Practice Location
400 PROFESSIONAL CENTER DRIVE
SUITE 414
NOVATO CA, 94947, US
Phone (415) 892-0754
Fax (415) 897-3204
Business Location
400 PROFESSIONAL CENTER DRIVE
SUITE 414
NOVATO CA, 94947, US
Phone (415) 892-0754
Fax (415) 897-3204
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G79619
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According to our database, Novato Dermatology Associates NPI is 1003960063, taxonomy code is 207N00000X and license number is G79619, license state is located at California. Novato Dermatology Associates physically located at 400 Professional Center Drive, Novato CA, 94947. NPI Number 1033115704 has the healthcare provider type.

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1003960063 NPI number is provided on an as is basis without warranty of any kind. 1003960063 is maintained by the National Plan & Provider Enumeration System. The contents of Novato Dermatology Associates are for informational purposes only.