DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION – NPI #1154493369
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Health Care Provider Taxonomy Code for Specialist

DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION is a specialist located in IRVINE, CA. NPPES has assigned the NPI number 1154493369 to DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION on November 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 14 years ago on Feb 27, 2012. See the complete NPI profile for DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION below.

NPI Profile for
DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION

NPI Number
1154493369
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION
Primary location
16300 SAND CANYON AVE
612
IRVINE, CA 92618-3711
Phone: (949) 753-1001 Fax: (949) 753-1115
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA GLOBERMAN
OWNER
Phone: (949) 753-1001
Updated
Identifiers

Identifiers for DERMATOLOGY AND LASER GROUP OF IRVINE, A MEDICAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE GROUP PTANCABS373
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)		 CA G34628

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.