Organization
VALLEY DERMATOLOGIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R SEIDMAN MD (PRESIDENT)
(818) 345-7122
Entity
Organization
Contact information
Practice address
18364 CLARK ST, TARZANA, CA 91356-3502
(881) 345-7122
(818) 345-7448
Mailing address
18364 CLARK ST, TARZANA, CA 91356-3502
(881) 345-7122
(818) 345-7448
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A19349
CA
Other
Enumeration date
06/15/2005
Last updated
04/08/2008
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