Daniel E Gormley
Dermatologist Dermatopathologist Procedural Dermatology MOHS-Micrographic Surgeon
412 W Carroll Ave Ste 207
Glendora
, California 91741-4240
Daniel E Gormley
Dermatologist Dermatopathologist Procedural Dermatology MOHS-Micrographic Surgeon
412 W Carroll Ave Ste 207
Glendora
, California 91741-4240
(626) 963-0575
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Daniel E Gormley
- 412 W Carroll Ave Ste 207
- Glendora, CA
- Zip : 91741-4240
- Fax : (626) 963-0575
- Phone : (626) 963-7684
Second Address
- Daniel E Gormley
- 412 W Carroll Ave Ste 207
- Glendora, CA
- Zip : 91741-4240
- Fax : (626) 963-0575
- Phone : (626) 963-7684
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Is Daniel E Gormley a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A21148 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | A21148 | CA |
| N | 207ND0900X | Dermatopathologist | A21148 | CA |
| N | 207NS0135X | Procedural Dermatology | A21148 | CA |
National Provider Identifier
| NPI | 1386629210 |
|---|---|
| Provider Name | Daniel E Gormley |
| First Address | Glendora, CA 91741-4240 |
| Second Address | Glendora, CA 91741-4240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2005 |
| Last Update Date | 19/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A22480 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.