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Organization

MEDICAL DERMATOLOGY & COSMETIC CLINIC OF NORTHERN CALIFORNIA

Active
Other names
University Skin Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PANTEA HASHEMI MD (FOUNDER)
(916) 571-5200
Entity
Organization

Contact information

Practice address
650 UNIVERSITY AVE STE 200, SACRAMENTO, CA 95825
(916) 771-7700
Mailing address
650 UNIVERSITY AVE STE 200, SACRAMENTO, CA 95825-6726

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
12/15/2017
Last updated
08/14/2018
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