Dermatology West, Llc
Clinic/Center in Westlake, OH(View on Map)
Legal Business Name
Dermatology West, Llc
NPI Number
1053521021
NPI Type
Organization
Enumeration Date
05/22/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
1445 CASTRO ST
26410 CENTER RIDGE RD
City
San Francisco
Westlake
State
CA
OH
Postal Code
94114-3717
44145-4067
Country
US
US
Telephone Number
(440) 858-3176
(440) 858-3176
Authorized Official
Name
Dr. Kyle Wagamon
Title or Position
OWNER
Telephone Number
(440) 858-3176
Identifiers
Identifier
1780758003
Identifier State
CA
Identifier Issuer
PERSONAL NPI
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020
Provider Address
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