Guam Dermatology Institute LLC
NPI 1306404413ActiveOrganization· Dermatology· Tamuning, GU
Dermatology in Tamuning, Guam, registered in NPPES in June 2019. The authorized official on file is Hoseong Yang, MD PHD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306404413 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2019 |
| Last updated in NPPES | Oct 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GU) |
|---|
Other Dermatology providers in Tamuning
- 1922323500