| Dermatology And Hair Restoration Specialists,inc. | |
|
2825 Santa Monica Blvd Suite 303a Santa Monica CA 90404-2429 | |
| (888) 543-8424 | |
| Not Available |
| Full Name | Dermatology And Hair Restoration Specialists,inc. |
|---|---|
| Speciality | Dermatology |
| Location | 2825 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Ben E Behnam (DERMATOLOGIST) |
| Authorized Official Contact | 3104338143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology And Hair Restoration Specialists,inc. 2825 Santa Monica Blvd Suite 303a Santa Monica CA 90404-2429 Ph: (888) 543-8424 | Dermatology And Hair Restoration Specialists,inc. 2825 Santa Monica Blvd Suite 303a Santa Monica CA 90404-2429 Ph: (888) 543-8424 |
| NPI Number | 1962735662 |
|---|---|
| Provider Enumeration Date | 09/13/2009 |
| Last Update Date | 09/23/2013 |
| Medicare PECOS PAC ID | 3577790005 |
|---|---|
| Medicare Enrollment ID | O20131209000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962735662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A96639 (California) | Secondary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | A95319 (California) | Primary |
| Provider Name | Ben Behnam |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720278534 PECOS PAC ID: 1951463470 Enrollment ID: I20081217000572 |
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