National Provider Identifier Database

GREENBRAE DERMATOLOGY A MEDICAL CORPORATION
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.


Contact Information

GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION
1300 S ELISEO DR STE 207
GREENBRAE, CA94904-2015
Phone: 415-925-0550
Fax: 415-925-9062
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X
Dermatopathology 207ND0900X
MOHS-Micrographic Surgery 207ND0101X
Pediatric Dermatology 207NP0225X
Procedural Dermatology 207NS0135X

* Indicates primary specialty

NPI Profile & details for GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION

NPI Number 1174898654
Legal business name
LBN
GREENBRAE DERMATOLOGY, A MEDICAL CORPORATION
Authorized official LUCRETIA LEWITT - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/15/2012
Last updated 06/30/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A97783
  • CA License #: G40606
  • CA License #: G53455

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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