Organization
PARNELL MEDICAL CORPORATION
Active
Other names
Cosmetic & Laser Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DEANGELIS PARNELL M.D. (OWNER)
(415) 461-1036
Entity
Organization
Contact information
Practice address
1100 S ELISEO DR, SUITE 2, GREENBRAE, CA 94904-2017
(415) 461-1036
(415) 461-1043
Mailing address
1100 S ELISEO DR, SUITE 2, GREENBRAE, CA 94904-2017
(415) 461-1036
(415) 461-1043
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G18571
CA
Other
Enumeration date
10/10/2006
Last updated
07/23/2008
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