Organization
AFFILIATED DERMATOLOGISTS, INC.
Active
Organization
AFFILIATED DERMATOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A SEARLE MD (PHYSICIAN /PRESIDENT)
(805) 484-3331
Entity
Organization
Contact information
Practice address
3901 LAS POSAS RD, SUITE 108, CAMARILLO, CA 93010
(805) 484-3331
(805) 987-2118
Mailing address
3901 LAS POSAS RD, SUITE 108, CAMARILLO, CA 93010
(805) 484-3331
(805) 987-2118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G079257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOG297660
—
CA
01
—
ZZZ54249Z
BLUE SHIELD
—
Enumeration date
06/07/2006
Last updated
01/25/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up