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Contact Information

AFFILIATED DERMATOLOGISTS, INC.
3901 LAS POSAS RD
SUITE 108
CAMARILLO, CA93010
 Phone: 805-484-3331
 Fax: 805-987-2118
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for AFFILIATED DERMATOLOGISTS INC · (Female)

NPI Number 1306886429
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2006
Last updated 01/25/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G079257
  • CA Medicaid OOG297660
  • Other ZZZ54249Z BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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