Organization
CALIFORNIA SKIN INSTITUTE, A MEDICAL CORPORATION
Active
Organization
CALIFORNIA SKIN INSTITUTE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SMITH (PRACTICE MANAGER)
(650) 969-5600
Entity
Organization
Contact information
Practice address
525 SOUTH DR STE 115, MOUNTAIN VIEW, CA 94040-4211
(650) 969-5600
(650) 969-0360
Mailing address
525 SOUTH DR STE 115, MOUNTAIN VIEW, CA 94040-4211
(650) 969-5600
(650) 969-0360
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G81771
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G81771
CA
207ND0900X
Dermatopathology Physician
G81771
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G81771
CA
207NP0225X
Pediatric Dermatology Physician
G81771
CA
207NS0135X
Procedural Dermatology Physician
G81771
CA
Other
Enumeration date
06/26/2007
Last updated
12/26/2007
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