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AGAPE DERMATOLOGY PC NPI 1073152112


NPI Information

NPI: 1073152112
Provider Name: AGAPE DERMATOLOGY PC

Doing Business As: Z DERMATOLOGY & SKIN WELLNESS CENTER

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 05D2187720

Address:
18800 MAIN ST STE 111
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (714) 961-9119
Get Directions

AGAPE DERMATOLOGY PC is a dermatology in Huntington Beach, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. AGAPE DERMATOLOGY PC NPI is 1073152112. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Z Dermatology & Skin Wellness Center.

The provider's business location address is:

18800 MAIN ST STE 111
HUNTINGTON BEACH, CA
ZIP 92648-717
Phone: (714) 961-9119
Fax: (714) 951-9149

The provider's authorized official is Teresa Zamary .
The authorized official title is Ceo and has the following contact phone number (714) 951-9119.

The CLIA number assigned to this NPI record is 05D2187720 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/6/2020 and was last updated on 6/13/2020.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207NS0135XDermatologyProcedural DermatologyNo
3208600000XSurgeryNo
4207N00000XDermatologyYes

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

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