South Bay Skin & Cancer Medical Group, Inc.

LBN: South Bay Skin & Cancer Medical Group, Inc.
South Bay Skin & Cancer Medical Group, Inc. is an health care organization with primary practice located at 256 Landis Ave Third Floor, Chula Vista CA 91910-2650. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. South Bay Skin & Cancer Medical Group, Inc. can be contacted via phone (619) 426-9600, or through Rullan, Peter Paul via phone (619) 426-9600.

Contact Information

Primary practice address
256 Landis Ave Third Floor Chula Vista CA 91910-2650
Phone: (619) 426-9600
Fax: (619) 426-4112
Website:
Map and Directions
Authorized official contact:
Name: Rullan, Peter Paul Doctor of Medicine (MD)
Phone: (619) 426-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G42243 California

Profile Details

NPI number 1033289574
LBN Legal business name South Bay Skin & Cancer Medical Group, Inc.
DBA Doing business as
Authorized official Rullan, Peter Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 14th, 2022 - about 4 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 1033289574 NPPES
California MEDICAID ZZZ73699Z

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