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

Dermatology Associates of Southern California Inc

Organization Dermatology Physician · NPI 1376769265

Dermatology Associates of Southern California Inc provides Dermatology Physician services in Long Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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

917 Pine Ave
Long Beach, CA 90813-4325
Phone: (562) 590-9700
Fax: (560) 590-5583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence A86029 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A86029 (CA)

Record details

NPI number1376769265
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharam Yashar — Mgr · (562) 590-9700
NPI enumeratedApril 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address917 Pine Ave, Long Beach, CA 90813-4325

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