Organization
DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC
Active
Parent organization
DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC
Other names
American West Skin Pathology Consultation Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY PATHOLOGY MEDICAL GROUP, INC
Authorized official
DR. LEON MELVIN EDELSTEIN M.D. (PRESIDENT)
(530) 673-3790
Entity
Organization
Contact information
Practice address
1007 LIVE OAK BLVD, STE A-1, YUBA CITY, CA 95991-3454
(530) 673-3790
(530) 673-5642
Mailing address
1007 LIVE OAK BLVD, STE A-1, YUBA CITY, CA 95991-3454
(530) 673-3790
(530) 673-5642
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
00A192080
CA
207N00000X
Dermatology Physician
00A192080
CA
207ND0900X
Dermatopathology Physician
Primary
00A192080
CA
207NP0225X
Pediatric Dermatology Physician
00A192080
CA
207NS0135X
Procedural Dermatology Physician
00A192080
CA
207ZD0900X
Dermatopathology (Pathology) Physician
00A192080
CA
207ZI0100X
Immunopathology Physician
00A192080
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
00A192080
CA
207ZP0213X
Pediatric Pathology Physician
00A192080
CA
208D00000X
General Practice Physician
00A192080
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
00A192080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A192080
—
CA
Enumeration date
09/19/2007
Last updated
09/19/2007
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