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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

NPI Number 1578597001
LBN Legal business name DIAMOND BAR DERMATOLOGY CENTER
Authorized official JOY FORTICH - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2006
Last updated 12/06/2011 - About 15 years ago
Identifiers
CA License # G044761
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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