INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY INC. NPI 1013136357

NPI Information

  • NPI: 1013136357
  • Provider Name: INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • Address: 1525 SUPERIOR AVE
    SUITE 210
    NEWPORT BEACH, CA
    ZIP 92663
  • Phone: (949) 722-3555

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NPI Details

INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. is a procedural dermatology dermatology in Newport Beach, 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). INTEGRATED DERMATOLOGY AND DERMATOPATHOLOGY, INC. NPI is 1013136357. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1525 SUPERIOR AVE
SUITE 210
NEWPORT BEACH, CA
ZIP 92663-639
Phone: (949) 722-3555
Fax: (949) 722-3512

The provider's authorized official is Kay Keeyeul Sung .
The authorized official title is President and has the following contact phone number (949) 722-3555.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyA86806CALIFORNIANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryA86806CALIFORNIANo
3207ND0900XDermatologyDermatopathologyA86806CALIFORNIANo
4207NS0135XDermatologyProcedural DermatologyA86806CALIFORNIAYes

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: 11/21/2025

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