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Contact Information

DIAMOND BAR DERMATOLOGY CENTER
1200 S DIAMOND BAR BLVD
SUITE #201
DIAMOND BAR, CA91765-2298
 Phone: 909-860-7600
 Fax: 909-860-7460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DIAMOND BAR DERMATOLOGY CENTER · (Female)

NPI Number 1578597001
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2006
Last updated 12/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # G044761
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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