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Contact Information

DERMATOLOGY SPECIALISTS, INC
25495 MEDICAL CENTER DRIVE
#200
MURRIETA, CA92562
 Phone: 951-304-7546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY SPECIALISTS INC · (Female)

NPI # 1144410945
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2007
Last updated 01/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0029464
  • CT Other 1881631711 GROUP NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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