Southern California Dermatology, Inc in Santa Ana - Non-pharmacy Dispensing Site
Southern California Dermatology, Inc - NPI 1386629905
Southern California Dermatology, Inc is a Non-pharmacy Dispensing Site in Santa Ana, California. Southern California Dermatology, Inc practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Southern California Dermatology, Inc is 1386629905. The last update date is 2020-01-29.
Southern California Dermatology, Inc's current location address is 1125 E 17th St, Santa Ana, California. You can contact this provider via phone number 7145475151 and fax number 7145474027. The mailing address for Southern California Dermatology, Inc is 1125 E 17th St, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern California Dermatology, Inc |
|---|---|
| Address | 1125 E 17th St, Santa Ana, California |
| Phone Number | 7145475151 |
| Fax Number | 7145474027 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Baron A Jonathan |
| Credentials | MD |
| Telephone Number | 7145475151 |
NPI Number Detail
| NPI Number | 1386629905 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2020-01-29 |
Provider Mailing Address Detail
| Address | 1125 E 17th St |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927012201 |
| Phone Number | 7145475151 |
| Fax Number | 7145474027 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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What is the Southern California Dermatology, Inc's 1386629905?
The Southern California Dermatology, Inc's NPI (National Provider Identifier) Number is 1386629905. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southern California Dermatology, Inc located?
The Southern California Dermatology, Inc is located at 1125 E 17Th St, Santa Ana, CA 927012201.
What is the area of specialization for Southern California Dermatology, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southern California Dermatology, Inc is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this area of expertise is 332900000X.
When was the Southern California Dermatology, Inc's 1386629905 issued?
The Southern California Dermatology, Inc's 1386629905 was issued on 2005-12-07.
When was the information regarding Southern California Dermatology, Inc most recently updated?
The details pertaining to the Southern California Dermatology, Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-01-29.