Crystal Cove Dermatology, Inc. in Newport Beach - Specialist
Crystal Cove Dermatology, Inc. - NPI 1619186731
Crystal Cove Dermatology, Inc. is a Specialist in Newport Beach, California. Crystal Cove Dermatology, Inc. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Crystal Cove Dermatology, Inc. is 1619186731. The last update date is 2008-06-13.
Crystal Cove Dermatology, Inc.'s current location address is 1441 Avocado Ave, Newport Beach, California. You can contact this provider via phone number 9496409633 and fax number 9496409677. The mailing address for Crystal Cove Dermatology, Inc. is 1441 Avocado Ave, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crystal Cove Dermatology, Inc. |
|---|---|
| Address | 1441 Avocado Ave, Newport Beach, California |
| Phone Number | 9496409633 |
| Fax Number | 9496409677 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Critelli J Marguerite |
| Credentials | M.D. |
| Telephone Number | 9496409633 |
NPI Number Detail
| NPI Number | 1619186731 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 1441 Avocado Ave |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926607721 |
| Phone Number | 9496409633 |
| Fax Number | 9496409677 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G076233 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G76233 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Crystal Cove Dermatology, Inc. by the Centers for Medicare & Medicaid Services?
The Crystal Cove Dermatology, Inc. has been issued the NPI (National Provider Identifier) 1619186731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Crystal Cove Dermatology, Inc.'s facilities are geographically located?
The facilities of Crystal Cove Dermatology, Inc. are physically situated at the following location: 1441 Avocado Ave, Newport Beach, CA, 926607721.
What is Crystal Cove Dermatology, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Crystal Cove Dermatology, Inc. is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Crystal Cove Dermatology, Inc. receive its 1619186731 assignment from the Centers for Medicare & Medicaid Services?
The Crystal Cove Dermatology, Inc. was assigned its 1619186731 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Crystal Cove Dermatology, Inc. most recently updated or revised?
The details related to Crystal Cove Dermatology, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.
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