in San Diego - Dermatology

- NPI 1245341882

is a Dermatology in San Diego, California. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for is 1245341882. The last update date is .

's current location address is 10243 Genetic Center Dr, San Diego, California. You can contact this provider via phone number 8585266175 and fax number 8585266017. The mailing address for is 10243 Genetic Center Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 10243 Genetic Center Dr, San Diego, California
Phone Number 8585266175
Fax Number 8585266017
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1245341882
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 10243 Genetic Center Dr
City San Diego
State California (CA)
Post Code 921216310
Phone Number 8585266175
Fax Number 8585266017

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No G77270
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G772700 CA --

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