AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED
NPI 1710172994
Dermatology - Procedural Dermatology in Campbell, CA

Q: What is F. Richard Noodleman MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since September 11, 2007

3803 S BASCOM AVE, SUITE 200, CAMPBELL, CA 95008(408) 559-0988(408) 369-4263 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Age Defy Dermatology And Wellness Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGE DEFY DERMATOLOGY AND WELLNESS INCORPORATED (NPI 1710172994) is a healthcare organization registered as a procedural dermatology in Campbell, California and active in the NPI registry since September 2007. The organization lists Frank Richard Noodleman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710172994

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameF. RICHARD NOODLEMAN MD A PROFESSIONAL CORPORATION

Location Address3803 S BASCOM AVE, SUITE 200Campbell, CA 95008-7317

Mailing Address3803 S Bascom Ave, Suite 200Campbell, CA 95008-7317 · (408) 559-0988

Phone(408) 559-0988

Fax(408) 369-4263

Organization SubpartNo

Authorized OfficialFrank Richard NoodlemanMedical Director · (408) 559-0988

Enumeration DateSeptember 11, 2007

Last NPPES UpdateOctober 24, 2007

✔ NPI 1710172994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in CA · G422290

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

3803 S BASCOM AVE, Campbell, CA 95008

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Other Names 1

Doing Business AsAge Defy Dermatology And Wellness Incorporated

Other Identifiers 1

Medicare UPINA48868CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTEN HEITZ HAUG PA

Physician Assistant

3803 S BASCOM AVE, SUITE 200
CAMPBELL, CA 95008

Santa Clara County (408) 559-0988

DAVID R HARRIS MD A MEDICAL CORPORATION

Dermatology (Procedural Dermatology)

3803 S BASCOM AVE, SUITE 200
CAMPBELL, CA 95008

Santa Clara County (408) 559-0988

MEDICAL ARTS SURGERY SUITE A MEDICAL CORPORATION

Clinic/Center (Ambulatory Surgical)

3803 S BASCOM AVE, SUITE 100
CAMPBELL, CA 95008

Santa Clara County (408) 559-7177

RODOLFO A MORALES M D A PROFESSIONAL CORPORATION

Thoracic Surgery (Cardiothoracic Vascular Surgery)

3803 S BASCOM AVE, SUITE 102B
CAMPBELL, CA 95008

Santa Clara County (408) 559-1011

KAMAKSHI RAIMONDO ZEIDLER MD

Plastic Surgery

3803 S BASCOM AVE, STE 100
CAMPBELL, CA 95008

Santa Clara County (408) 559-7177

ROBERT CHARLES WITCOSKY P.A.

Physician Assistant (Surgical)

3803 S BASCOM AVE, SUITE 102
CAMPBELL, CA 95008

Santa Clara County (408) 286-1967

DR. RONALD MARK GEMBERLING MD

Surgery (Plastic and Reconstructive Surgery)

3803 S BASCOM AVE, SUITE 204
CAMPBELL, CA 95008

Santa Clara County (408) 559-8658

FOREST MEDICAL GROUP, INC.

Specialist

3803 S BASCOM AVE, SUITE 210
CAMPBELL, CA 95008

Santa Clara County (408) 559-1866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is F. Richard Noodleman MD A Professional Corporation's NPI number?

The NPI number for F. Richard Noodleman MD A Professional Corporation is 1710172994. It was assigned to this organization in the NPPES registry on September 11, 2007. The provider is doing business as Age Defy Dermatology And Wellness Incorporated.

Where is F. Richard Noodleman MD A Professional Corporation located?

F. Richard Noodleman MD A Professional Corporation is located at 3803 S Bascom Ave Suite 200, Campbell, CA 95008. The listed phone number is (408) 559-0988.

What is F. Richard Noodleman MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for F. Richard Noodleman MD A Professional Corporation was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.