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Proderm Image , A Professional Medical Corporation
Medical Specialty Clinic/Center in Westlake Village, California
NPI 1811667264

Proderm Image , A Professional Medical Corporation is a Medical Specialty Clinic/Center based in Westlake Village, CA and is specialized in Medical Specialty. Proderm Image , A Professional Medical Corporation practices in Westlake Village, CA. The NPI Number for Proderm Image , A Professional Medical Corporation is 1811667264 and holds a License No. (California).

The current practice location address for Proderm Image , A Professional Medical Corporation is 960 S Westlake Blvd Ste 208, Westlake Village, CA and can be reached out via phone at 805-379-5970 and via fax at 805-379-5970.

Location: 960 S Westlake Blvd Ste 208, Westlake Village, CA, 91361-3162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811667264
Provider Name
Proderm Image , A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
960 S Westlake Blvd Ste 208, Westlake Village, CA, 91361-3162
Phone Number
805-379-5970
Fax Number
805-379-5970
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
960 S Westlake Blvd Ste 208
City
Westlake Village
State
California
Zip
91361-3162
Phone Number
805-379-5970
Fax Number
805-379-5970
person
Provider Business Mailing Address Details
Address
960 S Westlake Blvd Ste 208
City
Westlake Village
State
California
Zip
91361-3162
Phone Number
805-379-5970
Fax Number
805-379-5970
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
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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