LAKESIDE DERMATOLOGY - A PROFESSIONAL MEDICAL CORPORATION
Dermatology at Shrader St, San Francisco, CA

License number
California 20A9018
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: ALICE NGOC DO D.O.
Title: PRESIDENT
Phone: (415) 422-0822
Address
Address
1 Shrader St #640, San Francisco, CA 94117
National Provider ID: 1780963991
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAKESIDE DERMATOLOGY - A PROFESSIONAL MEDICAL CORPORATION

690 Spruce St #101, San Francisco, CA 94118

Registration:
Aug 11, 2011
State ID:
C3404229
Business type:
Articles of Incorporation
President:
Alice (President)
Agent:
Alice Do,San Francisco, CA 94118 (Physical)

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