Provider Type Icon

CALIFORNIA DERMATOLOGY PHYSICIANS NPI 1780188482


NPI Information

NPI: 1780188482
Provider Name: CALIFORNIA DERMATOLOGY PHYSICIANS
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 05D0891510

Address:
1902 FULLERTON AVE # 102
CORONA, CA
ZIP 92881
Phone: (951) 479-8994
Get Directions

CALIFORNIA DERMATOLOGY PHYSICIANS is a procedural dermatology dermatology in Corona, 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). CALIFORNIA DERMATOLOGY PHYSICIANS NPI is 1780188482. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1902 FULLERTON AVE # 102
CORONA, CA
ZIP 92881-112
Phone: (951) 479-8994

The provider's authorized official is Silvia Sedrak .
The authorized official title is Manager and has the following contact phone number (214) 803-7650.

The CLIA number assigned to this NPI record is 05D0891510 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 3/20/2018.


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
1207NS0135XDermatologyProcedural 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.