David a South MD & Kim M Albridge MD a Medical Corporation

Organization Active NPI Dermatology Physician · Freedom, CA

NPI 1194704973 · NPPES record last updated Jun 10, 2009

Key facts

NPI
1194704973
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
Legal business name
DAVID A SOUTH MD & KIM M ALBRIDGE MD A MEDICAL CORPORATION
Practice address
204 Green Valley Road
Freedom, CA 95019
Phone
(831) 728-2005
Fax
(831) 728-3310
NPI assigned
Jan 11, 2006
Organization subpart
No

Authorized official

Name
Dr. David A South, MD
Title
President
Phone
(831) 728-2005

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207N00000X Yes

Addresses

Primary practice location

204 Green Valley Road
Freedom, CA 95019

Mailing address

204 Green Valley Road
Freedom, CA 95019
Phone (831) 728-2005

Other providers in Freedom, CA

All providers in Freedom, CA · Dermatology Physician in California

Sources for this page

Verify at the official NPI Registry.