Boston Dermatology Corporation
Boston Dermatology Corporation provides Dermatology Physician services in Covina, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
262 W Badillo StCovina, CA 91723-1906
Phone: (626) 653-2525
Fax: (626) 653-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence A74086 (CA) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence A74086 (CA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence A74086 (CA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence A74086 (CA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence A74086 (CA) |
Record details
| NPI number | 1154517993 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Saeed Jaffer — President · (626) 653-2525 |
| NPI enumerated | September 14, 2007 |
| Last updated in NPPES | October 5, 2020 |
| Certification date | October 5, 2020 |
| Mailing address | 262 W Badillo St, Covina, CA 91723-1906 |
Other providers in Covina
-
Boston Medical and Surgical Dermatology
247 W San Bernardino Rd, Covina, CA 91723-1516 · (626) 653-2525
-
Dm Laser and Derma Center
246 W College St Fl 3, Covina, CA 91723-1910 · (626) 915-1911