| Zand Dermatology Inc | |
|
655 Redwood Hwy Frontage Rd Ste 246 Mill Valley CA 94941-3055 | |
| (415) 301-5000 | |
| (844) 719-5148 |
| Full Name | Zand Dermatology Inc |
|---|---|
| Speciality | Dermatology |
| Location | 655 Redwood Hwy Frontage Rd Ste 246, Mill Valley, California |
| Authorized Official Name and Position | Lucretia Ann Lewitt (OFFICE MANAGER) |
| Authorized Official Contact | 4159250550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zand Dermatology Inc 655 Redwood Hwy Frontage Rd Ste 246 Mill Valley CA 94941-3055 Ph: (415) 301-5000 | Zand Dermatology Inc 655 Redwood Hwy Frontage Rd Ste 246 Mill Valley CA 94941-3055 Ph: (415) 301-5000 |
| NPI Number | 1548773286 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 5799042511 |
|---|---|
| Medicare Enrollment ID | O20171204002600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548773286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | A97783 (California) | Primary |
| Provider Name | Sarvenaz Zand |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235216607 PECOS PAC ID: 3870648777 Enrollment ID: I20090828000146 |
| Provider Name | Paula Zand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679963490 PECOS PAC ID: 7214224344 Enrollment ID: I20160916002388 |
| Provider Name | Kimberly Hanf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316534415 PECOS PAC ID: 9931563137 Enrollment ID: I20230906002799 |
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