VERNON R. WILSON, MD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1740663160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740663160 |
| Entity Type | Organization |
| Organization Name | VERNON R. WILSON, MD A PROFESSIONAL MEDICAL CORPORATION |
| Other Organization Name | DERMATOLOGY TREATMENT CENTER OF THE SOUTH BAY |
| Practice Address |
3445 Pacific Coast Hwy 220 Torrance CA 90505-6658 |
| Practice Telephone | 3105349100 |
| Practice Fax Number | 3105349112 |
| Mailing Telephone | 3105349100 |
| Mailing Fax Number | 3105349112 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | MS. CASSANDRA STARKS (MANAGER) |
| Authorized Official Telephone | 3105349100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G62857 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Treatment Center of the South Bay | Doing Business As Name - Organization |
| Street Address |
3445 PACIFIC COAST HWY 220 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90505-6658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994080 | Pacific Endo-surgical Center, Lp | Clinic/Center | 3445 Pacific Coast Hwy, Suite 120, Torrance, CA 90505-6658 | 2005-07-03 |
| 1386182558 | Kpw Urology Specialty Group | Urology | 3445 Pacific Coast Hwy, 140, Torrance, CA 90505-6658 | 2017-02-07 |
| 1932642477 | Kpw Urology Specialty Group | Urology | 3445 Pacific Coast Hwy, Suite 310, Torrance, CA 90505-6658 | 2016-12-01 |
| 1497099360 | Leanna Nicole Gonzales | Physician Assistant | 3445 Pacific Coast Hwy, Suite 310, Torrance, CA 90505-6658 | 2012-11-16 |
| 1134473705 | Julie Yen Urone | Physician Assistant | 3445 Pacific Coast Hwy, #200, Torrance, CA 90505-6658 | 2012-11-05 |
| 1659625713 | Shirley Hsu Lee | Nurse Practitioner | 3445 Pacific Coast Hwy, #310, Torrance, CA 90505-6658 | 2012-10-28 |
| 1184915266 | South Bay Surgical Center Group, Inc. | Clinic/Center | 3445 Pacific Coast Hwy, Suite 250, Torrance, CA 90505-6658 | 2011-04-25 |
| 1730406224 | Jason Hove | Family Medicine | 3445 Pacific Coast Hwy, Suite 100, Torrance, CA 90505-6658 | 2010-04-23 |
| 1437394020 | Joachim W. Granzow, M.d., M.p.h., Inc. | Specialist | 3445 Pacific Coast Hwy, Suite 320, Torrance, CA 90505-6658 | 2008-12-10 |
| 1841459849 | Lawrence Saks | Surgery | 3445 Pacific Coast Hwy, Suite 240, Torrance, CA 90505-6658 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1811469349 | Laura Anne Bloomberg | Marriage & Family Therapist | 2790 Sky Park Drive, Suite 215, Torrance, CA 90505 | 2018-12-21 |
| 1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
| 1790270486 | Juste Karvelyte | Dentist | 3500 Lomita Blvd Ste 201, Torrance, CA 90505 | 2018-06-26 |
| 1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1649796038 | Chan & Huang Dental Partnership | Dentist | 3640 Lomita Blvd., #208, Torrance, CA 90505 | 2017-08-17 |
| 1093238370 | Family Acupuncture, Inc. | Specialist/Technologist, Other | 2820 Sepulveda Blvd.ste.a, Torrance, CA 90505 | 2017-07-19 |
| 1629518535 | J Lee Acupuncture | Acupuncturist | 24248 Crenshaw Blvd. #106, Torrance, CA 90505 | 2017-02-27 |
| 1770932360 | Maha Hanna Dds Inc | Dentist | 3710 Pacific Coast Hwy, Ste 101, Torrance, CA 90505 | 2016-06-06 |
| Find all providers in zip 90505 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1790246841 | Ocean Skin and Vein Institute | Dermatology | 4201 Torrance Blvd Ste 710, Torrance, CA 90503-4519 | 2019-03-29 |
| 1912311655 | Sophia Sandhu | Dermatology | 3640 Lomita Blvd Ste 301, Torrance, CA 90505-3956 | 2014-06-19 |
| 1013199868 | Gary S Chuang | Dermatology | 3475 Torrance Blvd Ste E, Torrance, CA 90503-5800 | 2007-12-04 |
| 1982892527 | Selbert Alan Chernila, M.d., Inc | Dermatology | 3400 Lomita Blvd Ste 310, Torrance, CA 90505-4921 | 2007-10-09 |
| 1942412291 | Ron Alexander Birnbaum | Dermatology | 1024 W. Carson, Los Angeles County Harbor Ucla Medical Center, Torrance, CA 90509 | 2007-05-07 |
| 1588710834 | Susan Goodlerner | Dermatology | 23451 Madison St Bldg 7, #330, Torrance, CA 90505-4763 | 2007-01-26 |
| 1548318322 | Sree Rama Krishna Karukonda | Dermatology | 23451 Madison St Ste 300, Torrance, CA 90505-4737 | 2007-01-08 |
| 1225194103 | Julia May Kwan | Dermatology | 21311 Madrona Ave Ste 100d, Torrance, CA 90503-5970 | 2006-12-28 |
| 1902968514 | James O'connell Md, Inc. | Dermatology | 23451 Madison St Ste 190, Torrance, CA 90505-4760 | 2006-12-14 |
| Find all providers in TORRANCE | ||||
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| 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.