South Valley Dermatology and Cosmetic Laser Center Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A80452 Issued in CA

Legal business name

SOUTH VALLEY DERMATOLOGY AND COSMETIC LASER CENTER INC

Practice address

740 N Irwin St
Hanford, CA 93230-3814

Phone

(559) 582-4510

Fax

(559) 583-6062

NPI assigned

Sep 29, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel D Nguyen, M.D.

Title

President

Phone

(559) 582-4510

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1376827055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303814",
            "telephone_number": "559-582-4510",
            "fax_number": "559-583-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N IRWIN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303814",
            "telephone_number": "559-582-4510",
            "fax_number": "559-583-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY DERMATOLOGY AND COSMETIC LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-582-4510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A80452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric N Sorensen, M.D.
• Knute E Sorensen, PA-C
• Crystal Sotelo
• Brianna Monique Soto
• Everest Gefeh Soubih, PHARMACIST
• Speech Pathways - Pediatric Speech Therapy Clinic, Inc.
• Samantha Speer
• Lasharae Spencer
• Randy Spohn Sr.
• Robert Squaresky

• Medical Specialty Clinic/Center in Hanford, CA
• Providers in Hanford, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.