Organization
UNIVERSITY DERMATOPATHOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SEGUIN (VP OF REVENUE CYCLE MANAGEMENT)
(954) 998-0976
Entity
Organization
Contact information
Practice address
2220 N SCREENLAND DR STE 101, BURBANK, CA 91505-1137
(954) 998-0976
Mailing address
PO BOX 847258, LOS ANGELES, CA 90084-3565
(650) 815-2120
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A73000
CA
Other
Enumeration date
09/13/2017
Last updated
11/21/2024
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