NPI 1003327545

West Oak Dermatology INC

Organisation Dermatology Physician Roseville, CA

Practice location

Address: 258 Gibson Dr STE 140, Roseville, CA 95678-5881
Phone: (916) 755-0077
Fax: (916) 755-0099

Authorised official

Name: Kathryn Boyse Gant
Title: Owner
Phone: (916) 755-0077

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 123615 (CA)

Other Dermatology providers in California →

Registry record

NPI: 1003327545
Entity type: Organization
NPI issued: 23 Oct 2017
Record last updated: 13 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.