Organization
GEORGE KEITH LLEWELLYN, MD, INC.
Active
Other names
Aloe Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KEITH LLEWELLYN M.D. (PRESIDENT)
(805) 884-4900
Entity
Organization
Contact information
Practice address
1722 STATE ST STE 103, SANTA BARBARA, CA 93101-2526
(805) 884-4900
(805) 456-8118
Mailing address
1722 STATE ST STE 103, SANTA BARBARA, CA 93101-2526
(805) 884-4900
(805) 456-8118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A80609
CA
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ55678Y
BLUE SHIELD
CA
Enumeration date
02/17/2009
Last updated
07/08/2020
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