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CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER NPI 1063502227


NPI Information

NPI: 1063502227
Provider Name: CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER

Doing Business As: CONTOUR DERMATOLOGY AND COSMETIC SURGERY CENTER

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 05D2143911

Address:
42600 MIRAGE RD
SUITE A1
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 416-6971
Get Directions

CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER is a procedural dermatology dermatology in Rancho Mirage, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). CONTOUR DERMATOLOGY AND COSMETIC SURGERY MEDICAL CENTER NPI is 1063502227. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Contour Dermatology And Cosmetic Surgery Center.

The provider's business location address is:

42600 MIRAGE RD
SUITE A1
RANCHO MIRAGE, CA
ZIP 92270-127
Phone: (760) 416-6971
Fax: (760) 318-8103

The provider's authorized official is Lee Elias Erwin .
The authorized official title is Executive Director and has the following contact phone number (760) 423-4043.

The CLIA number assigned to this NPI record is 05D2143911 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/16/2006 and was last updated on 9/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207NS0135XDermatologyProcedural DermatologyA70216CALIFORNIANo
4207NS0135XDermatologyProcedural DermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.