Organization
GEORGE KEITH LLEWELLYN, MD, INC.
Active
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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