Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corona Dermatology Center Inc

Organization Dermatology Physician · NPI 1790890085

Corona Dermatology Center Inc provides Dermatology Physician services in Corona, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
5
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

1810 Fullerton Ave Ste 101
Corona, CA 92881-3103 Not confirmed with CMS for 16 years — call before visiting
Phone: (951) 734-7900
Fax: (909) 860-2757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G044761 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence G044761 (CA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence G044761 (CA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence G044761 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence G044761 (CA)

Record details

NPI number1790890085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Fortich — Billing Manager · (909) 860-7600
NPI enumeratedAugust 20, 2006
Last updated in NPPESJanuary 13, 2010
Mailing addressPo Box 15807, Beverly Hills, CA 90209-1807

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