CRYSTAL COVE DERMATOLOGY, INC. is a specialist in Newport Beach, 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. CRYSTAL COVE DERMATOLOGY, INC. NPI is 1619186731. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1441 AVOCADO AVE
SUITE 602
NEWPORT BEACH, CA
ZIP 92660-721
Phone: (949) 640-9633
Fax: (949) 640-9677
The provider's authorized official is Marguerite J Critelli .
The authorized official title is Owner and has the following contact phone number (949) 640-9633.
The CLIA number assigned to this NPI record is 05D0953069 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 5/22/2007 and was last updated on 6/13/2008.