Fairmont Dermatology Medical Associates Inc
Fairmont Dermatology Medical Associates Inc provides Dermatology Physician services in Lodi, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
801 S Ham Ln Ste ALodi, CA 95242-7502 Not confirmed with CMS for 18 years — call before visiting
Phone: (209) 333-6110
Fax: (209) 333-0724
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 00A341430 (CA) |
|---|
Record details
| NPI number | 1477729291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Fairmont Dermatlogy Medical Associates Inc |
| Authorized official | Abdallah Khourdaji — President · (209) 333-6110 |
| Other names | Abdallah Khourdaji |
| NPI enumerated | May 1, 2008 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 801 S Ham Ln Ste A, Lodi, CA 95242-7502 |
Other providers in Lodi
-
Dr. Abdallah Khourdaji, MD
801 S Ham Ln Ste A, Lodi, CA 95242-7501 · (209) 333-6110