Organization
DERMATOLOGY CONSULTANTS OF SACRAMENTO A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J BASS M.D. (PRESIDENT)
(916) 739-1505
Entity
Organization
Contact information
Practice address
5340 ELVAS AVE, SUITE 600, SACRAMENTO, CA 95819-2345
(916) 739-1505
(916) 739-1426
Mailing address
5340 ELVAS AVE, SUITE 600, SACRAMENTO, CA 95819-2345
(916) 739-1505
(916) 739-1426
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
A55877
CA
207NS0135X
Procedural Dermatology Physician
Primary
C34793
CA
207NS0135X
Procedural Dermatology Physician
G36407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447340849
NPI - LAWRENCE J. BASS MD
CA
01
—
1518043777
NPI- LAYNE HERSH MD
CA
01
—
1609952860
NPI- MARGARET PARSONS MD
CA
Enumeration date
05/24/2007
Last updated
12/11/2014
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