Organization · Type 2 NPI

Proderm Image , A Professional Medical Corporation

Medical Specialty Clinic/Center · Westlake Village, CA

NPI number 1811667264 Active

Practice location

960 S Westlake Blvd Ste 208
Westlake Village, CA 91361-3162

Fax (805) 379-5970

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1811667264

Proderm Image , A Professional Medical Corporation's National Provider Identifier is 1811667264, issued on Sep 16, 2021. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Westlake Village, CA. The record was last updated on Sep 16, 2021.