Simi Dermatologic Medical Center, Inc

NPI 1144225269 - Dermatology - 207N00000X

NPI Details
NPI 1144225269
Enumeration Date 06/15/2005
Last Updated 09/30/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHARLES E CHARLES
Position PRESIDENT
Phone (805) 527-6586
Fax (805) 527-9421
Practice Location
2925 SYCAMORE DR
STE 203
SIMI VALLEY CA, 93065-1208, US
Phone (805) 527-6586
Fax (805) 527-9421
Business Location
2925 SYCAMORE DR
STE 203
SIMI VALLEY CA, 93065-1208, US
Phone (805) 527-6586
Fax (805) 527-9421
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G42744
Remove 1144225269 NPI Number
 

According to our database, Simi Dermatologic Medical Center, Inc NPI is 1144225269, taxonomy code is 207N00000X and license number is G42744, license state is located at California. Simi Dermatologic Medical Center, Inc physically located at 2925 Sycamore Dr, Simi Valley CA, 93065-1208. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1144225269 NPI number is provided on an as is basis without warranty of any kind. 1144225269 is maintained by the National Plan & Provider Enumeration System. The contents of Simi Dermatologic Medical Center, Inc are for informational purposes only.