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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

NPI Number 1144410945
LBN Legal business name DERMATOLOGY SPECIALISTS, INC
Authorized official JANE LISK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2007
Last updated 01/27/2015 - About 11 years ago
Identifiers
CA Medicaid GR0029464
CT Other 1881631711 GROUP NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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