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Contact Information

ADVANCED SKINCARE MEDCENTER INC.
369 SAN MIGUEL DR STE 235
NEWPORT BEACH, CA92660-7816
 Phone: 949-706-2887
 Fax: 949-706-2846
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ADVANCED SKINCARE MEDCENTER INC · (Female)

NPI # 1689711244
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2007
Last updated 10/30/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other 05D0942229 CLIA
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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