Telegraph Dermatology Medical Group Inc
LBN: Telegraph Dermatology Medical Group Inc
Telegraph Dermatology Medical Group Inc is an health care organization with primary practice located at 8337 Telegraph Rd Suite 210, Pico Rivera CA 90660-4909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty.
Telegraph Dermatology Medical Group Inc can be contacted via phone (563) 806-1321, or through Canon, Fernando Basco via phone (562) 806-1321.
Contact Information
Primary practice address
8337 Telegraph Rd Suite 210
Pico Rivera CA 90660-4909
Phone: (563) 806-1321
Fax: (562) 806-0801
Website:
Authorized official contact:
Name: Canon, Fernando Basco Doctor of Medicine (MD)
Phone: (562) 806-1321
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X |
Profile Details
| NPI number | 1245369941 |
|---|---|
| LBN Legal business name | Telegraph Dermatology Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Canon, Fernando Basco Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Apr 18th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245369941 | NPPES |
| California | Other | 05D0552524 | CLIA |
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