GOOD DERM, INC


Address: 3640 Lomita Blvd Ste 301, Torrance, CA 90505-3956
Phone: 3104050693

GOOD DERM, INC (NPI# 1407474273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407474273
Entity Type Organization
Organization Name GOOD DERM, INC
Practice Address 3640 Lomita Blvd Ste 301
Torrance
CA 90505-3956
Practice Telephone 3104050693
Practice Fax Number 3103569126
Mailing Telephone 3104050693
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Authorized Official Name DR. CONSUELO VERONICA DAVID (PRESIDENT)
Authorized Official Telephone 3016558058
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Good Dermatology Doing Business As Name - Organization

Office Location

Street Address 3640 LOMITA BLVD STE 301
City TORRANCE
State CA
Zip Code 90505-3956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912311655 Sophia Sandhu Dermatology 3640 Lomita Blvd Ste 301, Torrance, CA 90505-3956 2014-06-19

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194372045 Old Town Torrance Medical Corporation Clinic/Center 2055 Torrance Blvd Ste 1, Torrance, CA 90501-2642 2019-08-23
1306232020 Harbor Ucla Medical Center Clinic/Center 100 W. Carson Street, Ophthalmology Clinic Box 6, Torrance, CA 90502 2015-04-09
1740335751 Nature's Grace, Inc. Clinic/Center 22525 Crenshaw Blvd, Torrance, CA 90505-3019 2007-01-23
1053834697 County of Los Angeles - Auditor Controller Clinic/Center 711 Del Amo Blvd, Torrance, CA 90502-1362 2017-07-25
1366991689 County of Los Angeles Clinic/Center 711 Del Amo Blvd, Torrance, CA 90502-1362 2016-09-28
1376098343 Shaw Medical Group Professional Corporation Clinic/Center 1001 W Carson St, Suite I, Torrance, CA 90502-2051 2016-08-19
1083068720 County of Los Angeles Auditor Controller Clinic/Center 711 Del Amo Blvd, Torrance, CA 90502-1362 2016-04-19
1013389253 Nuvayda, LLC Clinic/Center 23456 Hawthorne Blvd, Suite 260, Torrance, CA 90505-4716 2015-10-27
1265841696 Kristin Andrade, M.d., Inc. Clinic/Center 20911 Earl St, Suite 100, Torrance, CA 90503-4352 2014-08-11
1922420983 Coastal View Gastroenterology of South Bay, Inc. Clinic/Center 3440 Lomita Blvd Ste 420, Torrance, CA 90505-4829 2014-01-10
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Competitor

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City TORRANCE
Zip Code 90505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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