Organization · Type 2 NPI
East Bay Dermatology Medical Group Inc.
Specialist · Milpitas, CA
NPI number
1467640284
Active
Practice location
1158 Jacklin Rd
Milpitas, CA 95035-3700
Fax (408) 942-1342
Mailing address
2557 Mowry Ave Ste 34
Fremont, CA 94538-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G53340 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Milpitas
About NPI 1467640284
East Bay Dermatology Medical Group Inc.'s National Provider Identifier is 1467640284, issued on Oct 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Milpitas, CA. The record was last updated on Oct 5, 2007.