Organization
ADVANCED DERMATOLOGY AND SKIN SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YI-PIN TSAO (PRACTICE MANAGER)
(408) 217-1905
Entity
Organization
Contact information
Practice address
14830 LOS GATOS BLVD STE 100, LOS GATOS, CA 95032-2053
(408) 358-1256
(408) 358-1826
Mailing address
4155 MOORPARK AVE STE 3, SAN JOSE, CA 95117-1714
(408) 217-1905
(408) 244-1318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A97430
CA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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