Valley Dermatologic Medical Group, Inc
NPI 1699770719ActiveOrganization· Dermatology· Tarzana, CA
Dermatology in Tarzana, California, registered in NPPES in June 2005. The authorized official on file is Donald R. Seidman, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699770719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2005 |
| Last updated in NPPES | Apr 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A19349 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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