BOUGHTON DERMATOLOGY NPI 1750691010

NPI Information

  • NPI: 1750691010
  • Provider Name: BOUGHTON DERMATOLOGY
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Doing Business As: BOUGHTON DERMATOLOGY
  • Address: 7300 GIRARD AVE
    SUITE 202
    LA JOLLA, CA
    ZIP 92037
  • Phone: (858) 454-7123

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NPI Details

BOUGHTON DERMATOLOGY is a dermatopathology dermatology in La Jolla, CA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. BOUGHTON DERMATOLOGY NPI is 1750691010. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Boughton Dermatology.

The provider's business location address is:

7300 GIRARD AVE
SUITE 202
LA JOLLA, CA
ZIP 92037-138
Phone: (858) 454-7123
Fax: (858) 454-5724

The provider's authorized official is Antoanella Calame .
The authorized official title is Dermatologist and has the following contact phone number (858) 353-5159.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

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
1207ND0900XDermatologyDermatopathologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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