Glenn A. Koby, Md

LBN: North Bay Dermatology Associates
Glenn A. Koby, Md is an health care organization with primary practice located at 106 Lynch Creek Way Suite #8, Petaluma CA 94954-2356. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. North Bay Dermatology Associates can be contacted via phone (707) 763-6816, or through Centurion, Santiago via phone (707) 763-6816.

Contact Information

Primary practice address
106 Lynch Creek Way Suite #8 Petaluma CA 94954-2356
Phone: (707) 763-6816
Fax: (707) 763-1730
Website:
Map and Directions
Authorized official contact:
Name: Centurion, Santiago Doctor of Medicine (MD)
Phone: (707) 763-6816

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1275622664
LBN Legal business name North Bay Dermatology Associates
DBA Doing business as Glenn A. Koby, Md
Authorized official Centurion, Santiago Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 25th, 2019 - about 7 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 1275622664 NPPES
California Other J5792 RAILTOAD MEDICARE

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