Union Square Dermatology a Professional Corporation
Dermatology practice in San Francisco, CA
Registered providerLicense # listed (CA)Medicare-enrolled groupAccepts Medicare assignment
Public-record details
- Address
- 450 Sutter St, Suite 830, San Francisco, CA 94108
- Phone
- (415) 393-0550
- Listed under
- Practices and organizations, Telehealth (Medicare claims)
- NPI
- 1023263613
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- License number on NPI record
- G 80000 (CA)
- Authorized official
- Vail Reese, MD, Physician
- NPI first issued
- Nov 24, 2008
- Years since NPI first issued
- 18 years (since 2008)
- License state on NPI record
- CA
- NPI record last updated
- Nov 24, 2008
- Medicare group enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians as Union Square Dermatology a Professional Corporation
- Clinicians in the Medicare group (all specialties, CMS)
- 4
- Dermatology clinicians in the group at this ZIP (CMS)
- 2
- Group Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Other dermatology listings at this street address
- 5
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