Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

F. Richard Noodleman MD a Professional Corporation

Organization Procedural Dermatology Physician · NPI 1710172994

F. Richard Noodleman MD a Professional Corporation provides Procedural Dermatology Physician services in Campbell, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

3803 S Bascom Ave Ste 200
Campbell, CA 95008-7317 Not confirmed with CMS for 18 years — call before visiting
Phone: (408) 559-0988
Fax: (408) 369-4263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence G422290 (CA)

Record details

NPI number1710172994
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Noodleman — Medical Director · (408) 559-0988
Other names Age Defy Dermatology And Wellness Incorporated
NPI enumeratedSeptember 11, 2007
Last updated in NPPESOctober 24, 2007
Mailing address3803 S Bascom Ave, Suite 200, Campbell, CA 95008-7317

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