Organization
ANA CARDENAS DERMATOLOGY, A PROFESSIONAL CORPORATION
Active
Other names
Advanced Cosmetic Dermatology, A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA AMPARO CARDENAS M.D. (OWNER)
(661) 410-7546
Entity
Organization
Contact information
Practice address
3400 CALLOWAY DR, SUITE 200, BAKERSFIELD, CA 93312-2513
(661) 410-7546
(661) 410-7547
Mailing address
3400 CALLOWAY DR, SUITE 200, BAKERSFIELD, CA 93312-2513
(661) 410-7546
(661) 410-7547
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G86302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ02042Z
PTAN
CA
Enumeration date
08/23/2006
Last updated
07/06/2015
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