Individual
KERRY DIANTHA ZANDEE VAN RILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 727-6008
Mailing address
280 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 727-6008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
177050
CA
207R00000X
Internal Medicine Physician
287028
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110172891A
—
MA
Enumeration date
04/02/2017
Last updated
10/14/2025
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