Organization
LOS ALTOS DERMATOLOGY, INC
Active
Organization
LOS ALTOS DERMATOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIAVOSH VOSSOUGH MD (CEO OWNER)
(650) 949-2771
Entity
Organization
Contact information
Practice address
851 FREMONT AVE, SUITE 112, LOS ALTOS, CA 94024-5698
(650) 949-2771
(650) 949-2388
Mailing address
851 FREMONT AVE, SUITE 112, LOS ALTOS, CA 94024-5698
(650) 949-2771
(650) 949-2388
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A61091
CA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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