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Contact Information

BRADLEY S KURGIS D O INC
1320 LAS TABLAS RD
SUITE B
TEMPLETON, CA93465-9711
 Phone: 805-434-5563
 Fax: 805-434-5916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BRADLEY S KURGIS D O INC

NPI # 1366736290
LBN Legal business name BRADLEY S KURGIS D O INC
Authorized official BRADLEY KURGIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2011
Last updated 10/26/2020 - About 6 years ago
Identifiers
CA Other 20A55170 MEDICARE ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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