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Menlo Dermatology Medical Group And Laser Center Inc
Specialist in Menlo Park, California
NPI 1275509465

Menlo Dermatology Medical Group And Laser Center Inc is a Specialist based in Menlo Park, CA. Menlo Dermatology Medical Group And Laser Center Inc practices in Menlo Park, CA. The NPI Number for Menlo Dermatology Medical Group And Laser Center Inc is 1275509465 and holds a License No. 26176 (California).

The current practice location address for Menlo Dermatology Medical Group And Laser Center Inc is 888 Oak Grove Ave, Menlo Park, CA and can be reached out via phone at 650-325-1511 and via fax at 650-325-6174.

Location: 888 Oak Grove Ave, Menlo Park, CA, 94025-4432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275509465
Provider Name
Menlo Dermatology Medical Group And Laser Center Inc
Credential
Provider Entity Type
Organization
Address
888 Oak Grove Ave, Menlo Park, CA, 94025-4432
Phone Number
650-325-1511
Fax Number
650-325-6174
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ15375Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
888 Oak Grove Ave
City
Menlo Park
State
California
Zip
94025-4432
Phone Number
650-325-1511
Fax Number
650-325-6174
person
Provider Business Mailing Address Details
Address
888 Oak Grove Ave
City
Menlo Park
State
California
Zip
94025-4432
Phone Number
650-325-1511
Fax Number
650-325-6174
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
26176 (California)
Definition
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.
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