Bernardo Dermatology Medical Group Inc
Bernardo Dermatology Medical Group Inc provides Dermatology Physician services in Poway, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15525 Pomerado Rd Ste A2Poway, CA 92064-2435 Not confirmed with CMS for 18 years — call before visiting
Phone: (858) 451-3311
Fax: (858) 451-1142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G41388 (CA) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence G41388 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence G49647 (CA) |
Record details
| NPI number | 1407950785 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ruth Larson — President · (858) 451-3311 |
| NPI enumerated | September 8, 2006 |
| Last updated in NPPES | November 6, 2007 |
| Mailing address | 15525 Pomerado Rd, Suite A2, Poway, CA 92064-2435 |
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E. Stanley Rodier, MD, Frcpc, Inc
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Dr. Paul Chun-Pu Jou, MD, MS
15611 Pomerado Rd Ste 400, Poway, CA 92064-2437 · (858) 657-3100
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Dale A Kooistra, MD, PHD
15525 Pomerado Rd Ste D2, Poway, CA 92064-2435 · (858) 675-8001