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NPI Code Detail

MEDICARE: BIERMAN CENTURY CITY DERM

MEDICARE: BIERMAN CENTURY CITY DERM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianA19760CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1$$$$$$$$$OTHERCASOCIAL SECURITY NUMBER
2W901OTHERCAPTAN FOR BIERMAN CENTURY CITY DERMATOLOGY MED GRP
300A19760OTHERCAPROVIDER NUMBER
4WA19760BOTHERCAPTAN FOR STANLEY M. BIERMAN

General Provider Information

NPI Number : 1174517890
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIERMAN CENTURY CITY DERM
Provider Business Mailing Address
First Line : 2080 CENTURY PARK E
Second Line : SUITE 1008
City : LOS ANGELES
State : CA
Zip : 90067-2001
Country : US
Telephone Number : 310-553-3567
Fax Number : 310-553-4538
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E
Second Line : SUITE 1008
City : LOS ANGELES
State : CA
Zip : 90067-2001
Country : US
Telephone Number : 310-553-3567
Fax Number : 310-553-4538
Authorized Official
Title or Position : PRESIDENT
Name : DR. STANLEY MELVIN BIERMAN
Credential : MD
Telephone Number : 310-553-3567
Provider Enumeration Date : 09/08/2005
Last Update Date : 05/21/2020

Similar Medicare Providers

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Practice Location Address:
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1396740908 — JUDITH REICHMAN M.D.
Practice Location Address:
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1144226184 — MAURICE ELIHU MD
Practice Location Address:
2080 CENTURY PARK E , SUITE 1804
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Practice Fax:
1053318337 — CENTURY CITY PHYSICAL THERAPY, INC
Practice Location Address:
2080 CENTURY PARK E , SUITE 410
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1295732154 — ROBERT P. NISENBAUM M.D.
Practice Location Address:
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1558363325 — DR. ERIC SETH MILLSTEIN M.D.
Practice Location Address:
2080 CENTURY PARK E , #1204
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1639163744 — SAID K MOSTAFAVI M.D.,
Practice Location Address:
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Directions to “BIERMAN CENTURY CITY DERM ” Practice Location

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