Organization
WOODGLEN INSTITUTE OF AESTHETICS AND DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKIE S EMRY (ADMIN ASST)
(626) 963-4124
Entity
Organization
Contact information
Practice address
541 S PASADENA AVE, 201, GLENDORA, CA 91741-6232
(626) 852-0599
(626) 852-0010
Mailing address
541 S PASADENA AVE, 201, GLENDORA, CA 91741-6232
(626) 852-0599
(626) 852-0010
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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