Organization
GOOD DERMATOLOGY, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELINDA TAN (PRESIDENT)
(310) 497-2978
Entity
Organization
Contact information
Practice address
3640 LOMITA BLVD, SUITE 301, TORRANCE, CA 90505-3927
(310) 497-2978
Mailing address
911 PALMS BLVD, VENICE, CA 90291-3852
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
10/31/2015
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