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DESCANSO DERMATOLOGY MEDICAL GROUP , NPI 1538161757

Dermatology in LA CANADA, CA

Last Updated on : Mar 26,2008

About DESCANSO DERMATOLOGY MEDICAL GROUP (NPI 1538161757)


DESCANSO DERMATOLOGY MEDICAL GROUP is a Dermatology in LA CANADA, United States with a focus in Dermatopathology.

1538161757 is NPI number of DESCANSO DERMATOLOGY MEDICAL GROUP.

DESCANSO DERMATOLOGY MEDICAL GROUP's primary taxonomy code based on NPI Lookup is 207ND0900X with license number G40665. This taxonomy code refers to Dermatology.

DESCANSO DERMATOLOGY MEDICAL GROUP current practice location address is 1346 FOOTHILL BLVD, LA CANADA, CA. DESCANSO DERMATOLOGY MEDICAL GROUP can be reached out via phone at 818-790-6726 and via fax at 818-790-9562 .

You can also correspond with DESCANSO DERMATOLOGY MEDICAL GROUP through mail at mailing address 1346 FOOTHILL BLVD, LA CANADA, CA, United States. Mailing address contact number is 818-790-6726.

The enumeration date of DESCANSO DERMATOLOGY MEDICAL GROUP is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 14 years ago.

The authorized official of DESCANSO DERMATOLOGY MEDICAL GROUP is JOHN HONCH (PARTNER). JOHN HONCH can be reached at 8187906726.

1538161757 NPI Information

Name DESCANSO DERMATOLOGY MEDICAL GROUP
National Provider Id (NPI) 1538161757
Entity Type Organization
Practice Address 1346 FOOTHILL BLVD, STE 203
LA CANADA, CA, United States
Practice Telephone 818-790-6726
Practice Fax Number 818-790-9562
Mailing Address 1346 FOOTHILL BLVD , STE 203
LA CANADA, CA, United States
Mailing Telephone 818-790-6726
Mailing Fax Number 818-790-9562
Enumeration Date 01-Jun-2005
Last Updated Date 26-Mar-2008

DESCANSO DERMATOLOGY MEDICAL GROUP (NPI 1538161757) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207ND0900X Dermatology, Dermatopathology G40665 CA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
W10384 MEDICARE ID-Type Unspecified (04)
GR0082860 MEDICAID (05) CA
ZZZ157442 Other (non-Medicare) (01) BLUE SHIELD

DESCANSO DERMATOLOGY MEDICAL GROUP (NPI 1538161757) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1245397355 ASTRID SOEGAARD Dentist, General Practice 747 FOOTHILL BLVD, SUITE 2
LA CANADA, CA, United States
02-Jan-2007
1558759241 CAROLINE SOHJUNG KIM Occupational Therapist 4660 ENCINAS DR,
LA CANADA, CA, United States
02-Jan-2015
1154567667 RAVINDER KAUR SOHI Occupational Therapist 2222 FOOTHILL BLVD, #E-553
LA CANADA, CA, United States
05-Jan-2009
1801874003 WILLIAM F SCHUBERT Family Medicine 1407 FOOTHILL BLVD,
LA CANADA, CA, United States
06-Jan-2006
1114075215 LAURA ELLEN EVANS Family Medicine 466 FOOTHILL BLVD, #115
LA CANADA, CA, United States
08-Jan-2007
1215577689 JOCELYNE ELISA MANSILLA Student in an Organized Health Care Education/Training Program 2222 FOOTHILL BLVD STE E243,
LA CANADA, CA, United States
13-Jan-2020
1689725780 JOSEPH F GOODSELL Dentist, Oral and Maxillofacial Surgery 2020 LYANS DR,
LA CANADA, CA, United States
15-Jan-2007
1356493969 VICKEN SAHAKIAN Obstetrics & Gynecology, Reproductive Endocrinology 870 SAINT KATHERINE DR,
LA CANADA, CA, United States
17-Jan-2007
1659845105 LILLI ROULEAU Marriage & Family Therapist 1336 OLIVE LN,
LA CANADA, CA, United States
17-Jan-2019
1679626105 HAROLD JAY CAPELOTO Pharmacist 4160 HAYVENHURST DRIVE,
ENCINO, CA, United States
19-Jan-2007
1083366249 ARINA KIM Counselor, Addiction (Substance Use Disorder) 4920 PALM DR,
LA CANADA, CA, United States
19-Jan-2022
1760849806 JANELLE MARIE FROEHLICH Marriage & Family Therapist PO BOX 520,
LA CANADA, CA, United States
20-Jan-2016
1679996508 JOCYLANE DINSAY RN NP INC Clinic/Center, Primary Care 925 VISTA DEL VALLE RD,
LA CANADA, CA, United States
29-Jan-2014
1528114410 JAMES KELLER WORTHAM General Practice 1030 S GLENDALE AVE, SUITE 503
GLENDALE, CA, United States
25-Jan-2007
1841657608 EMI FUKUOKA Behavior Analyst 4515 OCEAN VIEW BLVD STE 320,
LA CANADA, CA, United States
25-Jan-2016
1497891477 SERGY SAROYAN Pharmacist 1409 1-2 FOOTHILL BLVD.,
LA CANADA, CA, United States
29-Jan-2007
1588960223 LINDA SBICCA ROWLAND Dental Hygienist 1102 LAVENDER LN,
LA CANADA, CA, United States
27-Jan-2011
1114558897 DAVID SEHO PARK Pharmacist 25825 VERMONT AVE,
HARBOR CITY, CA, United States
30-Jan-2020
1861679995 VIVIAN W CHUI Dentist, Orthodontics and Dentofacial Orthopedics 1346 FOOTHILL BLVD, SUITE 200
LA CANADA, CA, United States
31-Jan-2008
1164969986 CONNIE TIEU DUONG Behavior Analyst 4515 OCEAN VIEW BLVD STE 320,
LA CANADA, CA, United States
31-Jan-2017

FAQs

Whose NPI Number is 1538161757?

1538161757 is the NPI number of DESCANSO DERMATOLOGY MEDICAL GROUP.

Where is DESCANSO DERMATOLOGY MEDICAL GROUP located?

DESCANSO DERMATOLOGY MEDICAL GROUP is located at 1346 FOOTHILL BLVD, LA CANADA, CA.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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