Fremont Dermatology Medical Office

LBN: Fremont Dermatology Medical Office
Fremont Dermatology Medical Office is an health care organization with primary practice located at 39210 State St Ste 218 , Fremont CA 94538-1456. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Fremont Dermatology Medical Office can be contacted via phone (510) 790-0477, or through Gorsulowsky, David C via phone (510) 790-0477.

Contact Information

Primary practice address
39210 State St Ste 218 Fremont CA 94538-1456
Phone: (510) 790-0477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gorsulowsky, David C Doctor of Medicine (MD)
Phone: (510) 790-0477

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C042190 California

Profile Details

NPI number 1841487337
LBN Legal business name Fremont Dermatology Medical Office
DBA Doing business as
Authorized official Gorsulowsky, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 26th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841487337 NPPES
California Other A37754 UPIN
California Other 070008967 UPIN

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