Mid Valley Dermatology
Mid Valley Dermatology is a Procedural Dermatology Physician in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
4836 Van Nuys BlvdSherman Oaks, CA 91403-2101
Phone: (818) 907-7546
Fax: (818) 907-9506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X · Licence G21007 (CA) |
|---|
Record details
| NPI number | 1235335902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rocelyn Lucas Taylor — Billing Supervisor · (818) 907-7546 |
| Other names | Allan S Wirtzer Md |
| NPI enumerated | June 21, 2007 |
| Last updated in NPPES | November 11, 2008 |
| Mailing address | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 |