Organization
BIERMAN CENTURY CITY DERM
Active
Other names
Bierman Century City Dermatology Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY MELVIN BIERMAN MD (PRESIDENT)
(310) 553-3567
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, SUITE 1008, LOS ANGELES, CA 90067-2001
(310) 553-3567
(310) 553-4538
Mailing address
2080 CENTURY PARK E, SUITE 1008, LOS ANGELES, CA 90067-2001
(310) 553-3567
(310) 553-4538
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A19760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
CA
01
—
00A19760
PROVIDER NUMBER
CA
01
—
W901
PTAN FOR BIERMAN CENTURY CITY DERMATOLOGY MED GRP
CA
01
—
WA19760B
PTAN FOR STANLEY M. BIERMAN
CA
Enumeration date
09/08/2005
Last updated
05/21/2020
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