AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED – NPI #1710172994
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED is a dermatologist located in CAMPBELL, CA. NPPES has assigned the NPI number 1710172994 to AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED on September 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED” is a dba name, the actual legal business name for this organization is F. RICHARD NOODLEMAN MD A PROFESSIONAL CORPORATION. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 19 years ago on Oct 24, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED below.

NPI Profile for
F. RICHARD NOODLEMAN MD A PROFESSIONAL CORPORATION

NPI Number
1710172994
Enumeration Date

(about 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
F. RICHARD NOODLEMAN MD A PROFESSIONAL CORPORATION
Doing Business As (dba): AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED
Primary location
3803 S BASCOM AVE
SUITE 200
CAMPBELL, CA 95008-7317
Phone: (408) 559-0988 Fax: (408) 369-4263
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FRANK NOODLEMAN
MEDICAL DIRECTOR
Phone: (408) 559-0988
Updated
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
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 CA G422290

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.