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

East Bay Dermatology Medical Group Inc

Organization Specialist · NPI 1467640284

East Bay Dermatology Medical Group Inc provides Specialist services in Milpitas, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

1158 Jacklin Rd
Milpitas, CA 95035-3700 Not confirmed with CMS for 19 years — call before visiting
Phone: (408) 957-7676
Fax: (408) 942-1342
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G53340 (CA)

Record details

NPI number1467640284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sunil Dhawan — Secretary Of The Corporation · (408) 957-7676
Other names Center For Dermatology Cosmetic And Laser Surgery
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2007
Mailing address2557 Mowry Ave Ste 34, Fremont, CA 94538-1614

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