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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.

NPI Number 1336220540
LBN Legal business name ADVANCED DERMATOLOGY INC.
Authorized official MARYAM MOINFAR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 06/27/2019 - About 7 years ago
Identifiers
CA License # A92449
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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