GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION is a specialist in Laguna Hills, 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. GREEN DERMATOLOGIC MEDICAL GROUP A MEDICAL CORPORATION NPI is 1821116054. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
24411 HEALTH CENTER DR STE 520
LAGUNA HILLS, CA
ZIP 92653-633
Phone: (949) 452-3841
Fax: (949) 859-8937
The provider's authorized official is Rollin M Green .
The authorized official title is President and has the following contact phone number (949) 452-3841.
The CLIA number assigned to this NPI record is 05D0686223 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 3/26/2007 and was last updated on 5/4/2018.