Organization
PALMDALE DERMATOLOGY AND SKIN CANCER PC
Active
Organization
PALMDALE DERMATOLOGY AND SKIN CANCER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAHERI MD (PRESIDENT)
(661) 947-9000
Entity
Organization
Contact information
Practice address
631 W AVENUE Q, SUITE B, PALMDALE, CA 93551-3892
(661) 947-9000
(661) 266-8751
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(661) 947-9000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP42964
FNP
CA
Enumeration date
06/29/2012
Last updated
06/29/2012
Update your record
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