1831938232 NPI number — WILLIAM F RESH M.D. SKIN & SKIN CANCER MEDICAL GROUP OF SAN DIEGO, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831938232 NPI number — WILLIAM F RESH M.D. SKIN & SKIN CANCER MEDICAL GROUP OF SAN DIEGO, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAM F RESH M.D. SKIN & SKIN CANCER MEDICAL GROUP OF SAN DIEGO, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831938232
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
655 EUCLID AVE STE 304
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NATIONAL CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91950-2974
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-267-8303
Provider Business Mailing Address Fax Number:
619-267-4835

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5222 BALBOA AVE # FLOORS5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92117-6904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-267-8303
Provider Business Practice Location Address Fax Number:
619-267-4835
Provider Enumeration Date:
05/23/2024

Additional Information

Authorized Official

Authorized Official Last Name:
CIFUENTES
Authorized Official First Name:
YARELI
Authorized Official Middle Name:
KELLY
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
619-267-8303

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com