Diamond Bar Dermatology Center
Diamond Bar Dermatology Center provides Dermatology Physician services in Diamond Bar, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
1200 S Diamond Bar Blvd Ste #201Diamond Bar, CA 91765-2298 Not confirmed with CMS for 14 years — call before visiting
Phone: (909) 860-7600
Fax: (909) 860-7460
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 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 number | 1578597001 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joy Fortich — Billing Manager · (909) 860-7600 |
| NPI enumerated | July 10, 2006 |
| Last updated in NPPES | December 6, 2011 |
| Mailing address | P.O. Box 15807, Beverly Hills, CA 90209 |
Other providers in Diamond Bar
-
California Dermatology Center
23525 Golden Springs Dr, Diamond Bar, CA 91765-2175 · (909) 860-7600
-
Dermesurge Inc
1111 Grand Ave Ste K, Diamond Bar, CA 91765-4172 · (909) 860-4254
-
Diamond Bar Dermatology and Laser Center
1111 Grand Ave Ste K, Diamond Bar, CA 91765-4171 · (909) 860-4254