DERMATOLOGY SPECIALISTS INC NPI 1881631711

NPI Information

  • NPI: 1881631711
  • Provider Name: DERMATOLOGY SPECIALISTS INC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Address: 3629 VISTA WAY
    OCEANSIDE, CA
    ZIP 92056
  • Phone: (760) 828-9200

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NPI Details

DERMATOLOGY SPECIALISTS INC is a dermatology in Oceanside, 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. DERMATOLOGY SPECIALISTS INC NPI is 1881631711. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3629 VISTA WAY
OCEANSIDE, CA
ZIP 92056-522
Phone: (760) 828-9200
Fax: (760) 828-9141

The provider's authorized official is Jane Lisk .
The authorized official title is Administrator and has the following contact phone number (760) 757-7546.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 2/2/2009.

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
1207N00000XDermatologyCALIFORNIAYes

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
1W512CMEDICARE PINCALIFORNIA
2W512AMEDICARE PINCALIFORNIA
3070001860OTHERCALIFORNIARAILROAD MEDICARE
4GR0029460MEDICAIDCALIFORNIA
5W512BMEDICARE PINCALIFORNIA
6ZZZ00530ZMEDICARE PINCALIFORNIA
7W512MEDICARE PINCALIFORNIA

What is NPI?

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This page was last updated on: 3/30/2025

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