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Organization

PRODERM IMAGE , A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
Proderm Image
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOEL FIGUEROA (OFFICE MANAGER)
(805) 379-5970
Entity
Organization

Contact information

Practice address
960 S WESTLAKE BLVD STE 208, WESTLAKE VILLAGE, CA 91361-3162
(805) 379-5970
(805) 379-5970
Mailing address
960 S WESTLAKE BLVD STE 208, WESTLAKE VILLAGE, CA 91361-3162
(805) 379-5970
(805) 379-5970

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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