Organization
SIMI DERMATOLOGIC MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E LINDEN MD (PRESIDENT)
(805) 527-6586
Entity
Organization
Contact information
Practice address
2925 SYCAMORE DR, STE 203, SIMI VALLEY, CA 93065-1208
(805) 527-6586
(805) 527-9421
Mailing address
2925 SYCAMORE DR, STE 203, SIMI VALLEY, CA 93065-1208
(805) 527-6586
(805) 527-9421
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G42744
CA
Other
Enumeration date
06/15/2005
Last updated
09/30/2010
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