F AWADALLA MD PC NPI 1255982724

NPI Information

  • NPI: 1255982724
  • Provider Name: F AWADALLA MD PC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D2191731
  • Address: 27800 MEDICAL CENTER RD STE 220
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 545-6605

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NPI Details

F AWADALLA MD PC is a dermatology in Mission Viejo, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. F AWADALLA MD PC NPI is 1255982724. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA
ZIP 92691-408
Phone: (949) 545-6605
Fax: (949) 326-7509

The provider's authorized official is Alan Valdes .
The authorized official title is Coo and has the following contact phone number (949) 545-6605.

The CLIA number assigned to this NPI record is 05D2191731 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/25/2019 and was last updated on 8/13/2025.

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
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
22085R0001XRadiologyRadiation OncologyNo
3213ES0103XPodiatristFoot & Ankle SurgeryNo
4207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A125067OTHERCALIFORNIAMEDICAL BOARD OF CALIFORNIA

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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