Organization
JOHN K NYLUND MD INC
Active
Other names
So Bay Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDI V NYLUND (OFFICE MGR)
(310) 643-9333
Entity
Organization
Contact information
Practice address
14650 AVIATION BLVD, SUITE 235, HAWTHORNE, CA 90250-6656
(310) 643-9333
(310) 643-9337
Mailing address
14650 AVIATION BLVD, SUITE 235, HAWTHORNE, CA 90250-6656
(310) 643-9333
(310) 643-9337
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C34111
CA
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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