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Contact Information

ADVANCED DERMATOLOGY INC.
34213 PACIFIC COAST HWY
DANA POINT, CA92629
 Phone: 949-248-4547
 Fax: 949-248-4587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

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

NPI # 1336220540
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2006
Last updated 06/27/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A92449
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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