Organization
AMERICAN DERMATOLOGY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN NEIL LEDESMA M.D (OWNER/ MEDICAL DIRECTOR)
(310) 360-6661
Entity
Organization
Contact information
Practice address
416 N BEDFORD DR, SUITE 306, BEVERLY HILLS, CA 90210-4322
(310) 360-6661
(310) 360-6669
Mailing address
PO BOX 15717, BEVERLY HILLS, CA 90209-1717
(310) 360-6661
(310) 360-6669
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G44761
CA
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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