Organization
MEDICAL DERMATOLOGY & COSMETIC CLINIC OF NORTHERN CALIFORNIA
Active
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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