GLENDALE LASER AND DERMATOLOGY ASSOCIATES
NPI 1124497524
Preferred Provider Organization in Glendale, CA

NPI Status: Active since September 16, 2015

Contact Information

1510 S CENTRAL AVE STE 470
GLENDALE, CA
ZIP 91204
Phone: (818) 242-0035
Fax: (818) 242-3628

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  • Organization
  • Preferred Provider Organization

About GLENDALE LASER AND DERMATOLOGY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Glendale Laser And Dermatology Associates, a provider established in Glendale, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1124497524 assigned on September 2015. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Glendale Laser And Dermatology Associates. The authorized official of this NPI record is Dr. Phillip H A Lee Md (President)

NPI
1124497524
Provider Legal Name
PHILLIP H A LEE MD AND CENTER FOR ADVANCED DERMATOLOGY
Other Organization Name
GLENDALE LASER AND DERMATOLOGY ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1510 S CENTRAL AVE STE 470 GLENDALE, CA 91204
Location Phone
(818) 242-0035
Location Fax
(818) 242-3628
Mailing Address
1510 S CENTRAL AVE STE 470 GLENDALE, CA 91204
Mailing Phone
(818) 242-0035
Mailing Fax
(818) 242-3628
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2015
Last Update Date
02-19-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PHILLIP H A LEE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 242-0035

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124497524, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 8 + 9 + 1 + 4 + 5 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124497524.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124497524, enumerated as an "organization" on September 16, 2015.

The provider is located at 1510 S CENTRAL AVE STE 470 GLENDALE, CA 91204 and the phone number is (818) 242-0035.

Preferred Provider Organization with taxonomy code 305R00000X.