AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE; NPI #1902043284

Contact Information

AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE

13610 1ST AVE S
BURIEN, WA 98168-3404

Phone: 206-245-8502
Fax: 206-244-8425
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE

NPI # 1902043284

LBN Legal business name AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE

Authorized official ELIE LEVY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/08/2009

Last updated 05/25/2011 - About 15 years ago

Identifiers

Medicaid

7089576

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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