West Dermatology of Northern California, INC
NPI #1568523793 in Modesto, California
Provider Information
- NPI Number
- 1568523793
- Entity Type
- Organization
- Organization Name
- West Dermatology of Northern California, INC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 1, 2008
Practice Location
- Address
- 1444 FLORIDA AVE
- Address 2
- SUITE 201
- City
- Modesto
- State
- California
- ZIP Code
- 95350-4400
- Phone
- (209) 526-4384
Authorized Official
- Name
- DR. J ROBERT WEST SR., M.D.
- Title
- PRESIDENT
- Phone
- (909) 335-8649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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