GLENDORA DERMATOLOGIC AND COSMETIC SURGERY CENTER is an ambulatory surgical clinic center in Glendora, CA. GLENDORA DERMATOLOGIC AND COSMETIC SURGERY CENTER NPI is 1043323801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
412 W. CARROLL AVE SUITE 208 GLENDORA, CA ZIP 91741-280 Phone: (626) 335-1606 Fax: (626) 963-0575
The provider's authorized official is Daniel E Gormley . The authorized official title is Owner /president and has the following contact phone number (626) 335-1606.
The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/30/2010.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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: 3/30/2025
NPI Synchronization or Removal
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.
