HUNTINGTON DERMATOLOGY MEDICAL GROUP INC. NPI 1275664435

NPI Information

HUNTINGTON DERMATOLOGY MEDICAL GROUP, INC. is a specialist in Pasadena, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HUNTINGTON DERMATOLOGY MEDICAL GROUP, INC. NPI is 1275664435. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 FAIRMOUNT AVE
SUITE 425
PASADENA, CA
ZIP 91105-150
Phone: (626) 449-9992

The provider's authorized official is Seth Anthony Vaccaro .
The authorized official title is Owner and has the following contact phone number (626) 449-9992.

The CLIA number assigned to this NPI record is 05D0686672 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/22/2020.

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:

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