MEDICARE: DR. NORMAN M PRICE MD

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
1	207N00000X	Dermatology Physician	A26516	CA
2	207ND0900X	Dermatopathology Physician	A26516	CA
3	207NS0135X	Procedural Dermatology Physician	A26516	CA

General Provider Information

NPI Number	:	1376542340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN M PRICE MD

Provider Business Mailing Address
First Line	:	1 VIA HERMOSA
Second Line	:
City	:	ORINDA
State	:	CA
Zip	:	94563-1827
Country	:	US
Telephone Number	:	925-963-6399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 VIA HERMOSA
Second Line	:
City	:	ORINDA
State	:	CA
Zip	:	94563-1827
Country	:	US
Telephone Number	:	925-963-6399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	04/28/2017

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Directions to “ DR. NORMAN M PRICE MD” Practice Location

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