Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Dermatology Surgical and Medical Group Inc

Organization Dermatology Physician · NPI 1154407856

Advanced Dermatology Surgical and Medical Group Inc provides Dermatology Physician services in Lakewood, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3650 E South St #306
Lakewood, CA 90712
Phone: (562) 633-6353
Fax: (562) 633-4996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1154407856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fredric Rosenberg — Owner · (562) 633-6353
NPI enumeratedOctober 27, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing address3650 E South St, 306, Lakewood, CA 90712

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