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

Dermatology & Laser Clinic, Inc

Organization Dermatology Physician · NPI 1124166400

Dermatology & Laser Clinic, Inc provides Dermatology Physician services in Newport Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3
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

401 Old Newport Blvd Ste 102
Newport Beach, CA 92663-4269 Not confirmed with CMS for 14 years — call before visiting
Phone: (949) 631-0300
Fax: (949) 631-0302
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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 A69586 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A69586 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A69586 (CA)

Record details

NPI number1124166400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Hite — Ceo · (949) 631-0300
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJanuary 19, 2012
Mailing address401 Old Newport Blvd, Suite 102, Newport Beach, CA 92663-4269

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