institution
East Bay Dermatology Medical Group Inc.
Specialist in Milpitas, California
NPI 1467640284

East Bay Dermatology Medical Group Inc. is a Specialist based in Fremont, CA. East Bay Dermatology Medical Group Inc. practices in Milpitas, CA. The NPI Number for East Bay Dermatology Medical Group Inc. is 1467640284 and holds a License No. G53340 (California).

The current practice location address for East Bay Dermatology Medical Group Inc. is 1158 Jacklin Rd, Milpitas, CA and can be reached out via phone at 408-957-7676 and via fax at 408-942-1342.

Location: 1158 Jacklin Rd, Milpitas, CA, 94538-1614
institution
Provider Profile Details
NPI Number
1467640284
Provider Name
East Bay Dermatology Medical Group Inc.
Credential
Provider Entity Type
Organization
Address
1158 Jacklin Rd, Milpitas, CA, 94538-1614
Phone Number
408-957-7676
Fax Number
408-942-1342
Provider Enumeration Date
10/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1158 Jacklin Rd
City
State
Zip
95035-3700
Phone Number
408-957-7676
Fax Number
408-942-1342
person
Provider Business Mailing Address Details
Address
1158 Jacklin Rd
City
State
Zip
95035-3700
Phone Number
408-957-7676
Fax Number
408-942-1342
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G53340 (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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